Faustino Jose Allongo
Individual provider Active NPI General Practice Physician · Yauco, PR
NPI 1992561302 · NPPES record last updated Mar 27, 2024
Key facts
- NPI
- 1992561302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 023684 (PR)
- Practice address
- Carretera 128 KM 1.0 Bo
Yauco, PR 00698 - Phone
- (561) 329-1283
- NPI assigned
- Feb 23, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
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 |
|---|---|---|---|---|
| I20240927003255 | PR | Practitioner - General Practice | 8820532955 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023684 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | 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. | General Practice | Current | Accepting new patients |
| Salud Integral En la Montana, Inc. | General Practice | Current |
Accepting new patients |
| Salud Integral En la Montana, Inc | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc. | Current |
Accepting new patients |
Locations
156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688
23 Calle Jose de Diego
Toa Alta, PR 00953
Phone (787) 870-0008
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 023684 | PR | Yes |
Addresses
Primary practice location
Carretera 128 KM 1.0 Bo
Yauco, PR 00698
Mailing address
255 Calle Pavona
Yauco, PR 00698-4518
Phone (561) 329-1283
Other providers in Yauco, PR
- Al Ramos MD CSP
- Kedwin Joshmar Albarran Bonilla
- Maribel Albino Nieve
- Yasmed M Alequin Torres
- Bethzaida Alicea
- Ingrid Mariel Almodovar
- Wanda I Almodovar
- Nydia Esther Alvarado Quinones
- America Med Corp
- Angela E Fumero Paneto
All providers in Yauco, PR · General Practice 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 Mar 27, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.