Michael Nelson Fucile, M.D.
Individual provider Active NPI Family Medicine Physician · Corozal, PR
NPI 1962422006 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962422006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 7745 (PR)
- Practice address
- Rd.159 Desvio KM.0.8
Corozal, PR 00783-0739 - Phone
- (787) 859-2560
- Fax
- (787) 859-5390
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Salud Integral En la Montana Inc
Practice addresses (Care Compare)
Carr 891 KM
1 Bo Pueblo
Corozal, PR 00783-2441
Phone (787) 859-2560
Carr PR
891 Esquina Carr PR 159
Corozal, PR 00783
Phone (787) 859-2560
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101115000541 | PR | Practitioner - Family Practice | 2466647516 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7745 | PR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Integral En la Montana, Inc | Family Medicine | Current |
Accepting new patients |
| Salud Integral En la Montana, Inc | Current |
Accepting new patients | |
| Salud Integral En la Montana, Inc | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc. | Current |
Accepting new patients | |
| Salud Integral En la Montana, Inc. | Current |
Accepting new patients | |
| Salud Integral En la Montana, Inc | Current |
Accepting new patients | |
| Salud Integral En la Montana, Inc. | Family Medicine | Current |
Accepting new patients |
Locations
156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688
18 Calle Gerardo Nieves Mercado
Comerio, PR 00782
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7745 | PR | Yes |
Addresses
Primary practice location
Rd.159 Desvio KM.0.8
Corozal, PR 00783-0739
Mailing address
PO Box 739
Corozal, PR 00783-0739
Phone (787) 859-2560
Other providers in Corozal, PR
- Edna Mirelys Ferrer
- Edgardo A Figueroa
- Rosa I Franco Vazquez
- Marianela Fred
- Frias Precision Oral Surgery LLC
- Carmen D Fuentes Ramos
- Yasmin V Fuentes-Santiago
- Katherine Gali
- Beatriz Milagros Garcia
- Carmen E Garcia
All providers in Corozal, PR · Family Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.