Active NPI
Julia Isabel Fernandez, M.D.
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1093727125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 7725
- Practice address
- 100 Laurel Santa Juanita
Hospital Regional de Bayamon Ets
Bayamon, PR 00956-4816 - Phone
- (787) 288-6371
- NPI assigned
- Aug 13, 2006
- Last updated
- Aug 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 7725 | PR | Primary |
Addresses
Primary practice location
100 Laurel Santa Juanita
Hospital Regional de Bayamon Ets
Bayamon, PR 00956-4816
Mailing address
900 Calle Fordham Apt 3
University Gardens
San Juan, PR 00927-4817
Phone (787) 764-4329
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BF0196786 | Other | PR | FEDERAL LICENSE |
| 7725 | Other | PR | PUERTO RICO STATE LICENSE |
| 07159DM7 | Other | PR | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7725 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408579200000",
"number": "1093727125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CALLE FORDHAM APT 3",
"address_2": "UNIVERSITY GARDENS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009274817",
"telephone_number": "787-764-4329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LAUREL SANTA JUANITA",
"address_2": "HOSPITAL REGIONAL DE BAYAMON ETS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009564816",
"telephone_number": "787-288-6371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "JULIA",
"middle_name": "ISABEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2014-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "7725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL LICENSE",
"identifier": "BF0196786",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PUERTO RICO STATE LICENSE",
"identifier": "7725",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "07159DM7",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.