NPIMap

Organization Active NPI

Madeline Fernandez Gonzalez CSP

  • Family Medicine Physician
  • Ponce, PR
National Provider Identifier
1033533179
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11858 Issued in PR
Legal business name
MADELINE FERNANDEZ GONZALEZ CSP
Practice address
Edif a Porrata Pila
2431 Blvd Luis a Ferre Ste 311
Ponce, PR 00717-2116
Phone
(787) 843-0003
Fax
(787) 841-1086
NPI assigned
Feb 10, 2014
Last updated
Feb 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Madeline Fernandez, M.D
Title
President
Phone
(787) 843-0003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11858 PR Primary

Addresses

Primary practice location

Edif a Porrata Pila
2431 Blvd Luis a Ferre Ste 311
Ponce, PR 00717-2116

Mailing address

Edif a Porrata Pila
2431 Blvd Luis a Ferre Ste 311
Ponce, PR 00717-2116
Phone (787) 843-0003

National Provider Directory

National Provider Directory
Tax ID family
Dra Madeline Fernandez Gonzalez CSP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2431 Blvd Luis a Ferre
Ste 311
Ponce, PR 00717
Phone (787) 843-0003

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1033533179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDIF A PORRATA PILA",
            "address_2": "2431 BLVD LUIS A FERRE STE 311",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172116",
            "telephone_number": "787-843-0003",
            "fax_number": "787-841-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF A PORRATA PILA",
            "address_2": "2431 BLVD LUIS A FERRE STE 311",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172116",
            "telephone_number": "787-843-0003",
            "fax_number": "787-841-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADELINE FERNANDEZ GONZALEZ CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-843-0003",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "11858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.