Individual provider Active NPI

Josie Danelli Fuentes Gutierrez, M.D.

  • Pediatrics Physician
  • San Juan, PR
National Provider Identifier
1851773303
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
21049 Issued in PR
Practice address
Boulevard Dr Guillermo Arbona Centro Medico
San Juan
San Juan, PR 00935
Phone
(787) 753-6390
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 21049 PR Primary

Addresses

Primary practice location

Boulevard Dr Guillermo Arbona Centro Medico
San Juan
San Juan, PR 00935

Mailing address

Boulevard Dr Guillermo Arbona Centro Medico
San Juan
San Juan, PR 00935-5067
Phone (787) 753-6390

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21049PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Departamento de Salud Oficial Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjcjdfuent@yourcarecommunity.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1851773303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOULEVARD DR GUILLERMO ARBONA CENTRO MEDICO",
            "address_2": "SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009355067",
            "telephone_number": "787-753-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOULEVARD DR GUILLERMO ARBONA CENTRO MEDICO",
            "address_2": "SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-753-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES GUTIERREZ",
        "first_name": "JOSIE",
        "middle_name": "DANELLI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "21049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.