Fajardo Medical Practice
NPI 1134319320ActiveOrganization· General Practice· Fajardo, PR
General Practice in Fajardo, Puerto Rico, registered in NPPES in July 2007, part of Fajardo Medical Practice. The authorized official on file is Agapito Fontanez Nieves, M.D., Presidente.
Overview
| NPI | 1134319320 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Fajardo Medical Practice |
| NPI issued | Jul 25, 2007 |
| Last updated in NPPES | Jul 25, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other General Practice providers in Fajardo
- 1821958307
- 1063334332
- 1205535069
- 1235970286
- 1235961004
- 1013325380
- 1720308877
- 1285472761
- 1093513012
- 1811816101
- 1407001829
- 1083450365