Active NPI
Herelisse Marie Fernandez Morales, OD
- Optometrist
- Bayamon, PR
National Provider Identifier
1023978160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 784
- Practice address
- 500 Carr Dr John W Harris
Bayamon, PR 00957-6257 - Phone
- (787) 279-6350
- NPI assigned
- Nov 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 784 | PR | Primary |
Addresses
Primary practice location
500 Carr Dr John W Harris
Bayamon, PR 00957-6257
Mailing address
500 Carr Dr John W Harris
Bayamon, PR 00957-6257
Phone (787) 765-1915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 784 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1023978160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CARR DR JOHN W HARRIS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009576257",
"telephone_number": "787-765-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CARR DR JOHN W HARRIS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009576257",
"telephone_number": "787-279-6350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ MORALES",
"first_name": "HERELISSE",
"middle_name": "MARIE",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-12",
"last_updated": "2025-11-12",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
- Valeria Fernandez Garcia, PSYD
- Fernandez Lopez Orthopedic Services PSC
- Samuel A. Fernandez Lopez
- Haylisse Marie Fernandez Martinez, PHARMD, RPH
- Paola B Fernandez Molinary, MD
- Liza Marie Fernandez Rivera
- Judy Fernandez-Gallardo, M.D.
- Samuel Fernandez-Perez, MD
- Julia Isabel Fernandez, M.D.
- Miriam Fernandez, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.