Stefano Coppola-Fasick

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

19766 Issued in PR

Practice address

Hospital Menonita de Caguas
Carr 172 Salida 21 Turabo Gardens
Caguas, PR 00727-0072

Phone

(787) 653-0550

NPI assigned

Apr 15, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

NephrologyAlso: Internal Medicine

Education

University Central del Caribe Escuela de Medicina, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro Health Clinical Services LLCGroup PAC ID 1759692478, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Center Hospital Carolina LLC Hospital, Carolina, PR, CCN 400132

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stefano.coppolafasick.p1@direct.vitacare.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pro-Health Clinical Services LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Bayamon, PR
  • NPI 1881003382
  Medicare reassignment Care Compare group NPD
• San Pablo Developers Inc

  dba Advanced Imaging Interventional Center

  • Ambulatory Surgical Clinic/Center
  • Bayamon, PR
  • NPI 1861703464
  Medicare reassignment NPD
• San Pablo Developers, Inc

  dba Advanced Imaging Interventional Center

  • Diagnostic Radiology Physician
  • Bayamon, PR
  • NPI 1760478549
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Center Hospital Carolina LLC

  dba Doctors' Center Hospital San Fernando de la Carolina

  • General Acute Care Hospital
  • Carolina, PR
  • NPI 1255736187
  Care Compare affiliation
• Doctors Center Hospital Carolina LLC

  • Urgent Care Clinic/Center
  • Carolina, PR
  • NPI 1952897472

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1831585918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009700430",
            "telephone_number": "787-635-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL MENONITA DE CAGUAS",
            "address_2": "CARR 172 SALIDA 21 TURABO GARDENS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007270072",
            "telephone_number": "787-653-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Edif Dr. Arturo Cadilla, Paseo San Pablo 102-106",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "00960",
            "country_code": "US",
            "telephone_number": "787-269-2442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPPOLA-FASICK",
        "first_name": "STEFANO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-15",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "19766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consultores Cardiovasculares CSP
• Consultorio Dra Idalia Pedroza Lopez LLC
• Consultorio Medico DRS. Viera Y Pedroza, CSP
• Consultorio Medico Villa Blanca, PSC
• Cool Down, LLC
• Coqui Ambulance Services, Inc
• Coqui Blood Salvage Inc
• Lorena Cora-Cruz, D.M.D
• Jennifer D. Cora, M.S., CCC-SLP, PHL
• Priscila M Cordero Fontanez, MD

• Nephrology Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• Nephrology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.