Active NPI
Jose R.Fernandez MD,LLC
- Gynecology Physician
- Fajardo, PR
National Provider Identifier
1053764498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 7437
- Legal business name
- JOSE R.FERNANDEZ MD,LLC
- Practice address
- 311 Ave General Valero
Fajardo, PR 00738-4843 - Phone
- (787) 655-2335
- NPI assigned
- Jul 21, 2016
- Last updated
- Jul 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose R. Fernandez, M.D.
- Title
- President
- Phone
- (787) 525-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 7437 | PR | Primary |
Addresses
Primary practice location
311 Ave General Valero
Fajardo, PR 00738-4843
Mailing address
311 Ave General Valero
Fajardo, PR 00738-0880
Phone (787) 655-2335
National Provider Directory
National Provider DirectoryLocations
311 Ave General Valero
Fajardo, PR 00738
Phone (787) 655-2335
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.
-
- Gynecology Physician
- Fajardo, PR
- NPI 1912013624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469059200000",
"number": "1053764498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 AVE GENERAL VALERO",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007380880",
"telephone_number": "787-655-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 AVE GENERAL VALERO",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007384843",
"telephone_number": "787-655-2335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSE R.FERNANDEZ MD,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-21",
"last_updated": "2016-07-21",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-525-0700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "PR",
"license": "7437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fajardo, PR
- Carlos Eduardo Jimenez-Robinson, D.M.D.
- Eduardo Antonio Jimenez, M.D.
- JM Albulance
- Jorge Santiago Santiago (Farmacia Monte Brisas)
- Jose J Lopez Agudo Oftalmologo CSP
- JRC Maxillofacial Services,PSC
- Pedro Jose Jurado Cotto, RPH
- Juan A Jurado, M.D.
- JV Medical & Health Care Services LLC
- Laboratorio Clinico Birriel LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.