Judy Fernandez-Gallardo, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

8850 Issued in PR

Practice address

66 Calle Santa Cruz
Suite 508 Instituto San Pablo
Bayamon, PR 00961-7041

Phone

(787) 269-0059

Fax

(787) 269-6502

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205059573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 VIA NIZA",
            "address_2": "PASEO DEL MAR",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464644",
            "telephone_number": "787-278-0132",
            "fax_number": "787-269-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE SANTA CRUZ",
            "address_2": "SUITE 508 INSTITUTO SAN PABLO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617041",
            "telephone_number": "787-269-0059",
            "fax_number": "787-269-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-GALLARDO",
        "first_name": "JUDY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "8850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS HEALTHCARE PR, INC.",
            "identifier": "2956",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S INC.",
            "identifier": "82562",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel A. Fernandez Lopez
• Haylisse Marie Fernandez Martinez, PHARMD, RPH
• Paola B Fernandez Molinary, MD
• Herelisse Marie Fernandez Morales, OD
• Liza Marie Fernandez Rivera
• Samuel Fernandez-Perez, MD
• Julia Isabel Fernandez, M.D.
• Miriam Fernandez, PSY.D.
• Ricardo Fernandez, DVM 263
• Vanessa Beatriz Fernandez

• Psychiatry Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.