Organization Active NPI

Jose R.Fernandez MD,LLC

  • Gynecology Physician
  • Fajardo, PR
National Provider Identifier
1053764498
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
7437 Issued in PR
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.