Evelio Felix Bravo-Fernandez, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

6827 Issued in PR

Practice address

400 Ave Domenech Ste 604
Las Americas Prof Center
San Juan, PR 00918-3706

Phone

(787) 282-7681

Fax

(787) 756-7621

NPI assigned

Jul 9, 2006

Sex

Male

Sole proprietor

Yes

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942233192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVE DOMENECH STE 604",
            "address_2": "LAS AMERICAS PROF CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183706",
            "telephone_number": "787-282-7681",
            "fax_number": "787-756-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE DOMENECH STE 604",
            "address_2": "LAS AMERICAS PROF CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183706",
            "telephone_number": "787-282-7681",
            "fax_number": "787-756-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO-FERNANDEZ",
        "first_name": "EVELIO",
        "middle_name": "FELIX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "6827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "6827",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricardo H Brau, M.D.
• Brave Body Chiropractic Boutique
• Jaime Jose Bravo Castro, M.D.
• Cesar Bravo Garcia, DMD
• Sofia Bravo Torres, MD
• Juan F. Bravo-Figueroa, D.D.S.
• Maria Isabel Bravo-Saavedra, PH.D.
• Allison Brea, RPH
• Breast Care Center BBC PSC
• Benjamin Brekke

• All providers in San Juan, PR
• Gastroenterology Physician in Puerto Rico

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.