Carlos A Fernandez Rosa, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5499 Issued in PR

Practice address

Ave Borinquen #2263
Suite #2 Altos
San Juan, PR 00915

Phone

(787) 728-7965

Fax

(787) 726-2369

NPI assigned

Dec 19, 2006

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1124181185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14247",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009164247",
            "telephone_number": "787-728-7965",
            "fax_number": "787-726-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE BORINQUEN #2263",
            "address_2": "SUITE #2 ALTOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00915",
            "telephone_number": "787-728-7965",
            "fax_number": "787-726-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ ROSA",
        "first_name": "CARLOS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "5499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto D Fernandez McClin, M.D.
• Margarita M Fernandez Moreira, MD
• Nashalisse Fernandez Otero
• Alexis Fernandez Perez
• Adelyris Fernandez Rodriguez, OT
• Carlos Fernandez Sifre, MD
• Yolanda Marie Fernandez Soltero, ND
• Angelis Fernandez Torres, OTR/L
• Viviana Marie Fernandez Vicente
• Carlos J Fernandez-Cruz, MD

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.