Eliot M Fernandez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4139 Issued in PR

Practice address

9140 Calle Marina
Oficina 601
Ponce, PR 00717-1592

Phone

(787) 844-7105

Fax

(787) 840-2434

NPI assigned

Apr 7, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1003879503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 CALLE LADY DI",
            "address_2": "URB LOS ALMENDROS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007163527",
            "telephone_number": "787-840-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 CALLE MARINA",
            "address_2": "OFICINA 601",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171592",
            "telephone_number": "787-844-7105",
            "fax_number": "787-840-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ELIOT",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "4139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSMCA",
            "identifier": "DM033315",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paola Beatriz Fernandez Rivera
• Naomy Alejandra Fernandez Velez
• Antonio Marcelo Fernandez-Perez
• Alexandra Paola Fernandez
• Blanca Fernandez, M.D.
• Johans Fernandez, SA-C.
• Natalia Marie Fernandez
• Omar Fernandez
• Rosa Ines Fernandez, CRNA, MBA
• Fernandini Optical Gallery, Inc

• Pediatrics Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.