Active NPI
William Fred
- Family Medicine Physician
- Gurabo, PR
National Provider Identifier
1992818637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14519
- Practice address
- Lopez Sanches #100
Gurabo, PR 00778 - Phone
- (787) 712-4444
- NPI assigned
- Aug 16, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14519 | PR | Primary |
Addresses
Primary practice location
Lopez Sanches #100
Gurabo, PR 00778
Mailing address
PMB 708 Ave Rafael Cordero 200Ste 140
Caguas, PR 00725-3757
Phone (787) 746-4211
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WF Medical Services Corp | Family Medicine | Current | Accepting new patients |
| Hospital Menonita de Cayey | Current | Accepting new patients | |
| Hospital Menonita de Cayey | General Practice | Current | Accepting new patients |
| Home Medic Coordination | General Practice | Past | Accepting new patients |
Locations
20 Ave Luis Munoz Marin
Caguas, PR 00725
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.
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- Family Medicine Physician
- Cidra, PR
- NPI 1598337420
-
- General Acute Care Hospital
- Cayey, PR
- NPI 1750317764
-
- General Practice Physician
- Santa Isabel, PR
- NPI 1104923689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992818637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 708 AVE RAFAEL CORDERO 200STE 140",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007253757",
"telephone_number": "787-746-4211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LOPEZ SANCHES #100",
"city": "GURABO",
"state": "PR",
"postal_code": "00778",
"telephone_number": "787-712-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRED",
"first_name": "WILLIAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "14519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gurabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.