Roberto D Fernandez McClin, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

13459I Issued in PR

Practice address

735 Ave Ponce de Leon
San Juan, PR 00917-5022

Phone

(787) 758-2000

NPI assigned

Jul 17, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1134536550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3A14 CALLE ASTURIAS",
            "address_2": "VILLA DEL REY 3",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007277015",
            "telephone_number": "787-758-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-758-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ MCCLIN",
        "first_name": "ROBERTO",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-17",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13459I",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL STATE LICENSE",
            "identifier": "13459I",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Fernandez Hawa, M.D.
• Cristina Isabel Fernandez Hernandez, MD
• Fernandez Juncos Medical Clinic
• Camila Beatriz Fernandez Lockwood, MD
• Maria del Pilar Fernandez Marti, MD
• Margarita M Fernandez Moreira, MD
• Nashalisse Fernandez Otero
• Alexis Fernandez Perez
• Adelyris Fernandez Rodriguez, OT
• Carlos A Fernandez Rosa, 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 Nov 21, 2018; 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.