Individual provider Active NPI

Glorybell Fontanez- Martinez, M.D.

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1831397173
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12737 Issued in PR
Practice address
24 Calle Acosta
Urb. Paradis
Caguas, PR 00725-2649
Phone
(787) 746-3606
Fax
(787) 744-2508
NPI assigned
Jul 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 12737 PR Primary

Addresses

Primary practice location

24 Calle Acosta
Urb. Paradis
Caguas, PR 00725-2649

Mailing address

91 Calle Dr Rufo
Caguas, PR 00725-3724
Phone (787) 743-6814

Other names 1

  • Dr. Glorybell Fontanez Ramirez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12737PRMDGeneral Practice Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1831397173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CALLE DR RUFO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253724",
            "telephone_number": "787-743-6814",
            "fax_number": "787-744-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CALLE ACOSTA",
            "address_2": "URB. PARADIS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252649",
            "telephone_number": "787-746-3606",
            "fax_number": "787-744-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANEZ- MARTINEZ",
        "first_name": "GLORYBELL",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-09",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORYBELL",
            "last_name": "RAMIREZ",
            "middle_name": "FONTANEZ",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.