| NPI | 1104818954 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-08-18 |
| Last Updated | 2020-11-10 |
| Mailing Address | Go7 Ave Campo Rico, Country Club Carolina, PR 00982-2678 United States Phone: (787) 633-8152 | Fax: (787) 762-9110 📍 View Map |
| Primary Practice Address | Go7 Ave Campo Rico, Country Club Carolina, PR 00982-2678 United States Phone: (787) 633-8152 | Fax: (787) 762-9110 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | PR | 061680 | cruz azul |
| Other (non-Medicare) | PR | 129660590181 | global |
| Other (non-Medicare) | PR | 81706 | sss insurance |
| Other (non-Medicare) | PR | 9820006 | humana |
| Other (non-Medicare) | PR | p-1319 | palic |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 208D00000X – General Practice | PR | 9201 |
| Yes | 208000000X – Pediatrics | PR | 9201 |
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About NPI 1104818954
Ricardo M. Fontanet Grana MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104818954. The primary specialty listed is Pediatrics. The provider is located in Carolina, PR. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-08-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104818954?
NPI 1104818954 belongs to Ricardo M. Fontanet Grana MD, a Pediatrics in Carolina, PR. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104818954 active?
The current status of NPI 1104818954 in the NPPES registry is Active. The record was last updated on 2020-11-10.
What specialty is NPI 1104818954?
NPI 1104818954 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104818954?
You can verify NPI 1104818954 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104818954?
The primary practice address on file for NPI 1104818954 is Go7 Ave Campo Rico, Carolina, PR 00982-2678. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104818954 issued?
NPI 1104818954 was first issued (enumerated) on 2005-08-18. The NPPES record was last updated on 2020-11-10.
Practice Location Map
Ricardo M. Fontanet Grana is located at Go7 Ave Campo Rico, Carolina, PR. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Ricardo M. Fontanet Grana. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104818954. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| General Practice | 9201 | PR |
| Pediatrics | 9201 | PR |