Dr Ricardo M Fontanet Grana, MD - Medicare Pediatrics in Carolina, PR

Dr Ricardo M Fontanet Grana, MD is a medicare enrolled "Pediatrics" physician in Carolina, Puerto Rico. His current practice location is Go7 Ave Campo Rico, Country Club, Carolina, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 633-8152.

Dr Ricardo M Fontanet Grana is licensed to practice in Puerto Rico (license number 9201) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104818954.

Contact Information

Dr Ricardo M Fontanet Grana, MD
Go7 Ave Campo Rico, Country Club,
Carolina, PR 00982-2678
(787) 633-8152
(787) 762-9110

Map and Direction




Physician's Profile

Full NameDr Ricardo M Fontanet Grana
GenderMale
SpecialityPediatrics
LocationGo7 Ave Campo Rico, Carolina, Puerto Rico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104818954
  • Provider Enumeration Date: 08/18/2005
  • Last Update Date: 11/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0042621559
  • Enrollment ID: I20201203003027

Medical Identifiers

Medical identifiers for Dr Ricardo M Fontanet Grana such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104818954NPI-NPPES
061680OtherPRCRUZ AZUL
81706OtherPRSSS INSURANCE
P-1319OtherPRPALIC
129660590181OtherPRGLOBAL
9820006OtherPRHUMANA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 9201 (Puerto Rico)Secondary
208000000XPediatrics 9201 (Puerto Rico)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. Dr Ricardo M Fontanet Grana is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ricardo M Fontanet Grana, MD
Go7 Ave Campo Rico, Country Club,
Carolina, PR 00982-2678

Ph: (787) 633-8152
Dr Ricardo M Fontanet Grana, MD
Go7 Ave Campo Rico, Country Club,
Carolina, PR 00982-2678

Ph: (787) 633-8152

Reviews and Comments


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