Frederick Fernandez, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

957 Issued in PR

Practice address

Via Josefina 4-SS-8
Villa Fontana
Carolina, PR 00983

Phone

(787) 768-2929

Fax

(787) 268-2929

NPI assigned

Jun 6, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063451573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9368",
            "address_2": "PLAZA CAROLINA STATION",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009889368",
            "telephone_number": "787-768-2929",
            "fax_number": "787-768-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VIA JOSEFINA 4-SS-8",
            "address_2": "VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-768-2929",
            "fax_number": "787-268-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "FREDERICK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anays Fernandez Gonzalez, PSY.D
• Euri De Jesus Fernandez Nunez Sr., MD
• Militza Fernandez Rios, D.M.D.
• Aida Fernandez Sosa, PHARMACIST
• Aida Liz Fernandez
• Jonathan Fernandez, PSY.D.
• Kiara Liz Fernandez
• Lily Beth Fernandez
• Nery Jo Fernandez
• Rafael A Fernandez, O.D.

• Dentist in Carolina, PR
• Providers in Carolina, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.