Andres Javier Fantauzzi Portela, MD is a
Student In An Organized Health Care Education/training Program physician based in Ponce, Puerto Rico. Andres Javier Fantauzzi Portela is licensed to practice in * (Not Available) (license number ) and his current practice location is 388 Zona Ind Reparada 2, Ponce, Puerto Rico. He can be reached at his office (for appointments etc.) via phone at
(787) 840-2575.
NPI number for Andres Javier Fantauzzi Portela is 1457815086 and his current mailing address is Po Box 7004, Ponce, Puerto Rico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457815086.
Physician's Profile
| Full Name | Andres Javier Fantauzzi Portela |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 388 Zona Ind Reparada 2, Ponce, Puerto Rico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457815086
- Provider Enumeration Date: 01/28/2019
- Last Update Date: 07/02/2024
Medical Identifiers
Medical identifiers for Andres Javier Fantauzzi Portela such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457815086 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 23339 (Puerto Rico) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andres Javier Fantauzzi Portela is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Andres Javier Fantauzzi Portela, MD
Po Box 7004,
Ponce, PR 00732-7004
Ph: (787) 840-2575 | Andres Javier Fantauzzi Portela, MD
388 Zona Ind Reparada 2,
Ponce, PR 00716-2347
Ph: (787) 840-2575 |
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