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DR. ANSELMO FUENTES-APONTE MD
NPI 1053368985
Family Medicine in Toa Baja, PR

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
2765 AVE DOS PALMAS STE 102, TOA BAJA, PR 00949(787) 784-5000(866) 296-9467 Get Directions Write a Review

NPPES record last updated: July 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 4, 2022, Jun 6, 2022 (2 updates tracked since 2022).

About Dr. Anselmo Fuentes-aponte Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANSELMO FUENTES-APONTE MD (NPI 1053368985) is an individual family medicine provider in Toa Baja, Puerto Rico, licensed in Puerto Rico (9033) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (1986).

NPPES Registry Identity

NPI1053368985
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANSELMO FUENTES-APONTECredential: MD
Location Address2765 AVE DOS PALMAS STE 102Toa Baja, PR 00949-4136
Mailing Address2765 Ave Dos Palmas Ste 102Toa Baja, PR 00949-4136 · (787) 784-5000 · Fax (866) 296-9467
Phone(787) 784-5000
Fax(866) 296-9467
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1986
Enumeration DateMay 27, 2006
Last NPPES UpdateJuly 4, 20222 updates tracked since enumeration
NPPES CertifiedJuly 4, 2022
✔ NPI 1053368985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PR · 9033
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedAcupuncturistTaxonomy 171100000X · License 261 (PR)

Other Identifiers 9

Other81262Triple S
Other067358Ca
Other3567PR · Preferred Medicare Choice (pmc)
Other9033Licencia Medico
OtherHB25P09033 HIFPHumana Health Plus
Other29033Cigna
Other500419EMmm
OtherPE2379Palic
Other9500015Humana Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anselmo Fuentes-aponte Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719020783
PECOS Enrollment IDI20100130000306
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00949 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anselmo Fuentes-aponte's NPI number?

The NPI number for Anselmo Fuentes-aponte is 1053368985. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Anselmo Fuentes-aponte located?

Anselmo Fuentes-aponte practices at 2765 Ave Dos Palmas Ste 102, Toa Baja, PR 00949. The listed phone number is (787) 784-5000.

What is Anselmo Fuentes-aponte's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anselmo Fuentes-aponte enrolled in Medicare?

Yes. Anselmo Fuentes-aponte is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Anselmo Fuentes-aponte was last updated on July 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.