Individual provider Active NPI

Agustin Fernandez Cabrero, MD

  • Pulmonary Disease Physician
  • Ponce, PR
National Provider Identifier
1982784120
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
6019 Issued in PR
Practice address
Ana D Peis Marshand St Lote 2 Bypass
Urb Industrial Resorada
Ponce, PR 00731
Phone
(787) 840-0052
Fax
(787) 840-2317
NPI assigned
Oct 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 6019 PR Primary

Addresses

Primary practice location

Ana D Peis Marshand St Lote 2 Bypass
Urb Industrial Resorada
Ponce, PR 00731

Mailing address

PO Box 7004
Ponce, PR 00732-7004
Phone (787) 842-0230

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
I20071001000194 PR Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9436047255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Ave Casa Linda
Bayamon, PR 00959-9000
Phone (787) 789-1996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6019PRMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Las Americas Guaynabo, Inc Pulmonary Disease Current Accepting new patients
Clinica Las Americas Guaynabo, Inc CurrentSince Sep 1, 2022 Accepting new patients
Clinica Las Americas Guaynabo CurrentSince Sep 1, 2022 Accepting new patients
Ponce Medical School Foundation Inc Past Accepting new patients

Locations

1 Ave Casa Linda
Bayamon, PR 00959

1 Ave Casa Linda
Ste 101
Bayamon, PR 00959
Phone (787) 399-9092

Organizations & group practices 4

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982784120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7004",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327004",
            "telephone_number": "787-842-0230",
            "fax_number": "787-284-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANA D PEIS MARSHAND ST LOTE 2 BYPASS",
            "address_2": "URB INDUSTRIAL RESORADA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "787-840-0052",
            "fax_number": "787-840-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ CABRERO",
        "first_name": "AGUSTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "6019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.