Madeline Fernandez Gonzalez, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11858 Issued in PR

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

Sep 14, 2006

Sex

Female

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 PR

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 1

Specialty

Family Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Dra Madeline Fernandez Gonzalez CSP

  • Family Medicine Physician
  • Ponce, PR
  • NPI 1720184385
  Medicare reassignment NPD Authorized official
• Madeline Fernandez Gonzalez CSP

  • Family Medicine Physician
  • Ponce, PR
  • NPI 1033533179
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1043316607",
    "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": "787-843-0003"
        },
        {
            "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": {
        "last_name": "FERNANDEZ GONZALEZ",
        "first_name": "MADELINE",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "11858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Female Consultants of Puerto Rico,CSP
• Jamie Fernanadez Soto
• Agustin Fernandez Cabrero, MD
• Natalia Sofia Fernandez Davila, MD
• Daiana Fernandez Gonzalez, MD
• Francisco Fernandez Lombard
• Jeannielys Fernandez Quiles
• Paola Beatriz Fernandez Rivera
• Naomy Alejandra Fernandez Velez
• Antonio Marcelo Fernandez-Perez

• Family Medicine Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.