Samuel Fernandez-Perez, MD

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

21768 Issued in PR

Practice address

Carimed Plaza Suite 403
B1 Calle Santa Cruz
Bayamon, PR 00961-6933

Phone

(787) 798-7070

Fax

(787) 787-2107

NPI assigned

Jun 26, 2014

Last updated

Sep 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, PR2 enrollments

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 2

Specialty

Orthopedic Surgery

Education

University of Puerto Rico School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayamon Medical Center Hospital, Bayamon, PR, CCN 400032
• Hospital Menonita de Aibonito Hospital, Aibonito, PR, CCN 400018

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fernandezperez MD LLC

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Bayamon, PR
  • NPI 1508692575

  Single Specialty

  Medicare reassignment NPD Authorized official
• Cape Cod Orthopedics and Sports Medicine PC

  • Orthopaedic Surgery Physician
  • Hyannis, MA
  • NPI 1093769101

  Single Specialty

  NPD
• Cape Cod Orthopedics and Sports Medicine PC

  • Durable Medical Equipment & Medical Supplies
  • Sandwich, MA
  • NPI 1528877941

  Orthopaedic Surgery

  NPD
• Bayamon Medical Center Corp

  • General Acute Care Hospital
  • Bayamon, PR
  • NPI 1912930488

  Single Specialty

  NPD (past)
• Fernandez Lopez Orthopedic Services PSC

  • Pediatric Orthopaedic Surgery Physician
  • Bayamon, PR
  • NPI 1609133206

  Single Specialty

  NPD (past)
• Mennonite General Hospital Inc

  • General Acute Care Hospital
  • Aibonito, PR
  • NPI 1851320394

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayamon Medical Center Corp

  • General Acute Care Hospital
  • Bayamon, PR
  • NPI 1912930488
  Care Compare affiliation
• Mennonite General Hospital Inc

  • General Acute Care Hospital
  • Aibonito, PR
  • NPI 1851320394
  Care Compare affiliation

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1144635319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARIMED PLAZA SUITE 403",
            "address_2": "B1 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616933",
            "telephone_number": "787-798-7070",
            "fax_number": "787-787-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARIMED PLAZA SUITE 403",
            "address_2": "B1 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616933",
            "telephone_number": "787-798-7070",
            "fax_number": "787-787-2107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Hospital Menonita Aibonito",
            "address_2": "Suite 306",
            "address_purpose": "LOCATION",
            "city": "Aibonito",
            "state": "PR",
            "postal_code": "00705",
            "country_code": "US",
            "telephone_number": "787-735-0333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ-PEREZ",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PR",
            "license": "21768",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "282723",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "PR",
            "license": "21768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haylisse Marie Fernandez Martinez, PHARMD, RPH
• Paola B Fernandez Molinary, MD
• Herelisse Marie Fernandez Morales, OD
• Liza Marie Fernandez Rivera
• Judy Fernandez-Gallardo, M.D.
• Julia Isabel Fernandez, M.D.
• Miriam Fernandez, PSY.D.
• Ricardo Fernandez, DVM 263
• Vanessa Beatriz Fernandez
• Fernandezperez MD LLC

• Adult Reconstructive Orthopaedic Surgery Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.