Individual provider Active NPI

Fernando Luis Joglar -Irizarry, M.D.

  • Vascular Surgery Physician
  • San Juan, PR
National Provider Identifier
1992761803
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
13,322 Issued in PR
Practice address
Clinica de la Escuela de Medicina
Reparto Metropolitano Shopping, Ave. Americo Miranda
San Juan, PR 00921
Phone
(787) 758-2525
Fax
(787) 758-1119
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 13,322 PR
Vascular Surgery Physician 2086S0129X 13,322 PR Primary

Addresses

Primary practice location

Clinica de la Escuela de Medicina
Reparto Metropolitano Shopping, Ave. Americo Miranda
San Juan, PR 00921

Mailing address

Cirugia Trauma RCM
PO Box 29134
San Juan, PR 00929-0134
Phone (787) 763-2440

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
I20050218000508 PR Practitioner - Vascular SurgeryPractitioner - General Surgery 6709838667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Puerto Rico School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, shared by 49 NPIs, 246 clinicians

Practice addresses (Care Compare)

Ave Americo Miranda
200 Centro Comercial Reparto Metropolitano
Rio Piedras, PR 00921
Phone (787) 758-7910

Hospital & facility affiliations

  • Asem Hospital, San Juan, PR, CCN 400127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13,322PRMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Nov 13, 2011 Accepting new patients
Recinto de Ciencias Medicas Surgery CurrentSince Jun 24, 2017 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Nov 13, 2011 Accepting new patients
Administracion de Servicios Medicos de Puerto Rico Past Accepting new patients

Locations

BO Monacillos Centro Med
San Juan, PR 00935
Phone (787) 763-2440

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1992761803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CIRUGIA TRAUMA RCM",
            "address_2": "PO BOX 29134",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290134",
            "telephone_number": "787-763-2440",
            "fax_number": "787-758-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICA DE LA ESCUELA DE MEDICINA",
            "address_2": "REPARTO METROPOLITANO SHOPPING, AVE. AMERICO MIRANDA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-758-2525",
            "fax_number": "787-758-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOGLAR -IRIZARRY",
        "first_name": "FERNANDO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "13,322",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PR",
            "license": "13,322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.