Active NPI
Richard Fontanez Nieves, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 23475
- Practice address
- Centro Medico de Puerto Rico Barrio Monacillos
San Juan, PUERTO RICO 00935
UM - Phone
- (787) 758-2525
- NPI assigned
- Jun 22, 2015
- Last updated
- Sep 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 23475 | PR | Primary |
Addresses
Primary practice location
Centro Medico de Puerto Rico Barrio Monacillos
San Juan, PUERTO RICO 00935
UM
Mailing address
Centro Medico de Puerto Rico, Barrio Monacillo
San Juan, PUERTO RICO 00935
UM
Phone (787) 758-2525
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University Central del Caribe Escuela de Medicina, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
640 Ave Andalucia
San Juan, PR 00920-5311
Phone (787) 957-5553
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23475 | PR | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RFN-Ipsrm LLC | Pain Medicine | Current | Accepting new patients |
Locations
640 Ave Andalucia
San Juan, PR 00920
Phone (787) 461-1780
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- San Juan, PR
- NPI 1982472700
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": "1695772800000",
"number": "1982086435",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "CENTRO MEDICO DE PUERTO RICO, BARRIO MONACILLO",
"city": "SAN JUAN",
"state": "PUERTO RICO",
"postal_code": "00935",
"telephone_number": "787-758-2525"
},
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "CENTRO MEDICO DE PUERTO RICO BARRIO MONACILLOS",
"city": "SAN JUAN",
"state": "PUERTO RICO",
"postal_code": "00935",
"telephone_number": "787-758-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTANEZ NIEVES",
"first_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-22",
"last_updated": "2023-09-27",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "PR",
"license": "23475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.