Active NPI
Hector O Fontanet, MD
- Pediatrics Physician
- Carolina, PR
National Provider Identifier
1891706404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2059
- Practice address
- G07 Campo Rico Ave Country Club
Carolina, PR 00982-2678 - Phone
- (787) 769-4079
- Fax
- (787) 762-9110
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2059 | PR | Primary |
Addresses
Primary practice location
G07 Campo Rico Ave Country Club
Carolina, PR 00982-2678
Mailing address
I 25 Via Llanuras la Vista
San Juan, PR 00924-4480
Phone (787) 768-8814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91282 | Other | PR | TRIPLE S |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2059 | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891706404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "I 25 VIA LLANURAS LA VISTA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009244480",
"telephone_number": "787-768-8814",
"fax_number": "787-768-8814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G07 CAMPO RICO AVE COUNTRY CLUB",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009822678",
"telephone_number": "787-769-4079",
"fax_number": "787-762-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTANET",
"first_name": "HECTOR",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "2059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "91282",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.