DR. CHARLES J FEQUIERE I (NPI# 1669474813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669474813 |
| Entity Type | Individual |
| Full Name | DR. CHARLES J FEQUIERE I |
| Other Name | DR. CHARLES J FEQUIERE |
| Credential | MD |
| Practice Address |
66 Calle Santa Cruz Ste 506 Bayamon PR 00961-7050 |
| Mailing Address |
A3 Camino De Gardenias Enramada Dev. Bayamon PR 00961-3957 |
| Practice Telephone | 7877980990 |
| Mailing Telephone | 7877958424 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2014-12-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 6048 | PR | Other Service Providers |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
6048 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
66 CALLE SANTA CRUZ STE 506 |
| City | BAYAMON |
| State | PR |
| Zip Code | 00961-7050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659803815 | Caribbean Facial Plastic Surgery Center, Psc | Otolaryngology | 66 Calle Santa Cruz, Instituto San Pablo Suite 407, Bayamon, PR 00961 | 2017-03-28 |
| 1558742957 | Rafael Berrios Marcano Ginecologo, P.s.c | Specialist | 66 Calle Santa Cruz, Instituto San Pablo Oficina 510, Bayamon, PR 00961-7041 | 2015-06-11 |
| 1043603889 | Bayamon Oncology Medical Csp | Clinic/Center | 66 Calle Santa Cruz, Inst. San Pablo Suite 509, Bayamon, PR 00961-7041 | 2015-03-17 |
| 1467880146 | Gastrovem, LLC | Clinic/Center | 66 Calle Santa Cruz, Suite 201-b, Bayamon, PR 00961-7041 | 2013-10-16 |
| 1619236171 | Nefrology & Medical Services Psc | Clinic/Center | 66 Calle Santa Cruz, Suite 503 Instituto San Pablo, Bayamon, PR 00961-7041 | 2012-05-03 |
| 1952683815 | Mld Pain Management Inc. | Physical Medicine & Rehabilitation | 66 Calle Santa Cruz, Instituto San Pablo Suite #407, Bayamon, PR 00961-7041 | 2011-09-15 |
| 1528388683 | Perpar Psc | Clinic/Center | 66 Calle Santa Cruz, Instituto San Pablo # 304, Bayamon, PR 00961-7041 | 2010-06-10 |
| 1316184161 | Vasco Eguia Moreda | Internal Medicine | 66 Calle Santa Cruz, Suite 201-b, Bayamon, PR 00961-7041 | 2009-01-15 |
| 1083863344 | Roger Polish P.s.c. | Clinic/Center | 66 Calle Santa Cruz, Instituto San Pablo, Suite 502, Bayamon, PR 00961-7041 | 2008-09-11 |
| 1235393547 | Lillian Milagros Diaz | Speech-Language Pathologist | 66 Calle Santa Cruz, Instituto San Pablo Ste. 407, Bayamon, PR 00961-7041 | 2008-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929206 | Raul Alexis Ocasio Gonzalez | Physician Assistant | Urb, Santa Cruz, B7 Calle Santa Cruz, Bayamon, PR 00961 | 2020-10-12 |
| 1073128047 | Bianca Paola Vega | Psychologist | 73 Sabra Cruz Street Suit 405, Bayamon, PR 00961 | 2020-09-15 |
| 1457960940 | Lymari Barnecet | Physician Assistant | Calle Isabel II Suite 107, Edificio Joaquin Montesino, Bayamon, PR 00961 | 2020-07-30 |
| 1104443027 | Sheila Grisel Alicea | Psychologist | Condominio Alborada Apt 1132, Bayamon, PR 00961 | 2020-06-26 |
| 1407471477 | Noemi Burgos | Psychologist | Calle 2 Km 11.8 Edificio Centurion Piso 3, Bayamon, PR 00961 | 2020-06-15 |
| 1740802362 | Carlos Alexis Sepulveda | Social Worker | C-17 Calle Marginal, Santa Cruz, Bayamon, PR 00961 | 2020-05-18 |
| 1245859669 | Angelisse Julianna Rivera Gonzalez | Pharmacist | Ave. Munoz Rivera #425-ng, San Juan, PR 00961 | 2020-04-15 |
| 1003445750 | Miranda Kay Berger Nordelo | Student in an Organized Health Care Education/Training Program | 58-3 Calle 50, Urb Sierra Bayamon, Bayamon, PR 00961 | 2020-04-05 |
| 1215562558 | Gabriela Isabel Oquendo-claudio | Student in an Organized Health Care Education/Training Program | Urb Rio Hondo 1 Rio Caguitas M14, Bayamon, PR 00961 | 2020-03-06 |
| 1265063754 | Iris Angelica Gonzalez Rosa | Psychologist | Ave. West Main, #26, Blq. 48 #22, Sierra Bayamon, Bayamon, PR 00961 | 2020-02-03 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164567954 | Alcides Gil Escudero | Internal Medicine | 68 Santa Cruz Avenue, Torre San Pablo Suite 701, Bayamon, PR 00959 | 2007-02-20 |
| 1124197108 | Jose Campos | Internal Medicine | Hgwy#2 Km11.7, Bayamon Medical Plaza 406, Bayamon, PR 00959 | 2006-11-06 |
| 1366436743 | Dennis E. Negron Luciano | Internal Medicine | Bayamon Medical Mall, Suite 607, Bayamon, PR 00959-7200 | 2005-08-31 |
| 1003934589 | Ana I Rivera De La Vega | Internal Medicine | 100 Paseo San Pablo, Edif. Dr. Arturo Cadilla, Suite 201, Bayamon, PR 00961-7019 | 2007-03-26 |
| 1801929518 | Edwin A Mora-ruiz | Internal Medicine | 66 Calle Santa Cruz, Suite 503, Bayamon, PR 00961-7041 | 2007-03-13 |
| 1215948831 | Univ Central Del Caribe | Internal Medicine | Avenida Laurel, Esquina Santa Juanita #100, Bayamon, PR 00960 | 2006-08-10 |
| 1962451724 | Samuel Padilla Machuca | Internal Medicine | Bayamon Medical Mall, Suite 509 Piso 5, Bayamon, PR 00959-7200 | 2006-05-09 |
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| 1962978262 | Elite Nephrology Care Center Psc | Internal Medicine | Edificio Medical Emporium Oficina 203, Carretera 2 Km 156.5 Barrio Sabalos, Mayaguez, PR 00680 | 2018-10-15 |
| 1760846497 | Bryan Leslie Pagan Rivera | Internal Medicine | 1050 Ave Los Corazones Ste 2, Mayaguez, PR 00680-7041 | 2016-04-08 |
| 1205204823 | Renal Ipa of Pr LLC | Internal Medicine | 27 Calle Dr Nelson Perea Ste 104, Mayaguez, PR 00680-4950 | 2015-09-14 |
| 1831585918 | Stefano Coppola-fasick | Internal Medicine | 1976 Calle Cereipo, Guaynabo, PR 00969-4726 | 2015-04-15 |
| 1275929598 | Enrique E Acosta Oruna | Internal Medicine | 201 Calle Gautier Benitez # 307, Caguas, PR 00725-5527 | 2015-04-14 |
| 1841604329 | Rc Nephrology and Hypertension Psc | Internal Medicine | 694 Calle 66, Urb Veredas, Gurabo, PR 00778 | 2014-06-12 |
| 1629481569 | Neysha Janice Sanchez Rivera | Internal Medicine | Upr Medical Sciences Campus School of Medicine, Barrio Monacillos Rio Piedras, San Juan, PR 00936-5067 | 2014-06-09 |
| 1982024931 | Rtroche Nephrology Psc | Internal Medicine | # 753 Torre Medica Auxilio Mutuo Suite 615, Ave Ponce De Leon, San Juan, PR 00917 | 2014-04-17 |
| 1194145235 | Nova Nephrology Psc | Internal Medicine | 735 Ave Ponce De Leon Ste 615, Torre Medica Auxilio Mutuo, San Juan, PR 00917-5029 | 2014-04-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.