Active NPI
Dora Maria Fernandez, M.D.
- Psychiatry Physician
- Cabo Rojo, PR
National Provider Identifier
1215140330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 14132
- Practice address
- 50 Calle Henna
Suite B
Cabo Rojo, PR 00623-3450 - Phone
- (787) 254-3294
- NPI assigned
- May 7, 2007
- Last updated
- Sep 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 14132 | PR | Primary |
Addresses
Primary practice location
50 Calle Henna
Suite B
Cabo Rojo, PR 00623-3450
Mailing address
Urb. Cibao
Henna#50
Cabo Rojo, PR 00623
Phone (787) 254-2933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14132 | PR | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221782400000",
"number": "1215140330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. CIBAO",
"address_2": "HENNA#50",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "00623",
"telephone_number": "787-254-2933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 CALLE HENNA",
"address_2": "SUITE B",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "006233450",
"telephone_number": "787-254-3294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "DORA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2008-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "14132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cabo Rojo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.