Pedro J Fernandez, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

10067 Issued in PR

Practice address

Edificio la Palma Oficina 2 - E Calle Peral # 14
Mayaguez, PR 00680

Phone

(787) 834-2727

Fax

(787) 834-2728

NPI assigned

May 2, 2008

Last updated

May 2, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Department of Social Dept of SHS Div of InstnsGroup PAC ID 9133013725, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Department of Social Dept of SHS Div of Instns

  dba Eastern State Hospital

  • Psychiatric Hospital
  • Medical Lake, WA
  • NPI 1467440602

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Uhs of Westwood Pembroke Inc

  dba Westwood Lodge Hospital

  • Psychiatric Hospital
  • Westwood, MA
  • NPI 1760453328
  Medicare reassignment NPD
• Dr. Pedro J Fernandez CSP

  • Adult Mental Health Clinic/Center
  • Mayaguez, PR
  • NPI 1487792271
  NPD (past) Authorized official

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1023284759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 704",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830704",
            "telephone_number": "787-834-2727",
            "fax_number": "787-834-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO LA PALMA OFICINA 2 - E CALLE PERAL # 14",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-2727",
            "fax_number": "787-834-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "PEDRO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "10067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Domingo Feliu Rosado, MD
• Felix M Rivera Borges, CSP
• Ferdinand Rivera Villalba C.S.P.
• Coralis Fernandez Semidey
• Pedro Fernandez, PHD
• Sandra M Fernandez, M.D.
• Werner M Fernandez, M.D.
• Willy Amaury Fernandez, PH.D.
• Ashley Mar Fernandini Soto, MD
• Thais Elora Ferrer Colon, MD

• Psychiatry Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.