Individual provider Active NPI

Richard Fontanez Nieves, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
National Provider Identifier
1982086435
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
23475 Issued in PR
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227003242 PR Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 9436582863 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
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

LicenseStateTypeSpecialty
23475PRMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RFN-Ipsrm LLC Pain Medicine CurrentSince Dec 12, 2023 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.

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

Verify at the official NPI Registry.