Individual provider Active NPI

Carlos Fernandez, MD

  • Rheumatology Physician
  • San Juan, PR
National Provider Identifier
1174590897
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
3933 Issued in PR
Practice address
Road 21, Las Lomas Suite 011
Metropolitan Hospital
San Juan, PR 00921-0921
Phone
(787) 783-3055
Fax
(787) 200-8529
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 3933 PR Primary

Addresses

Primary practice location

Road 21, Las Lomas Suite 011
Metropolitan Hospital
San Juan, PR 00921-0921

Mailing address

PO Box 364364
San Juan, PR 00936-4364
Phone (787) 783-3055

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130419000204 PR Practitioner - RheumatologyPractitioner - Internal Medicine 2163668047 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Road 21
1 Las Lomas
San Juan, PR 00921

Road 21 T3
Dr Carlos Fernandez Medical Office
San Juan, PR 00921
Phone (787) 783-3055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Rheumatology Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1174590897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364364",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364364",
            "telephone_number": "787-783-3055",
            "fax_number": "787-200-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 21, LAS LOMAS SUITE 011",
            "address_2": "METROPOLITAN HOSPITAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009210921",
            "telephone_number": "787-783-3055",
            "fax_number": "787-200-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "CARLOS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PR",
            "license": "3933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.