Active NPI
Benigno J. Fernandez, M.D.
- Psychiatric Hospital Unit
- San Antonio, TX
National Provider Identifier
1245434182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- J0758
- Legal business name
- BENIGNO J. FERNANDEZ, M.D.
- Practice address
- 17720 Corporate Woods Dr
San Antonio, TX 78259-3500 - Phone
- (210) 495-3627
- Fax
- (210) 491-3581
- NPI assigned
- Jun 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Benigno J. Fernandez, M.D.
- Title
- Psychiatrist
- Phone
- (210) 495-3627
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | J0758 | TX | Primary |
Addresses
Primary practice location
17720 Corporate Woods Dr
San Antonio, TX 78259-3500
Mailing address
PO Box 90415
San Antonio, TX 78209-9084
Phone (210) 495-3627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1155525-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379289600000",
"number": "1245434182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90415",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782099084",
"telephone_number": "210-495-3627",
"fax_number": "210-491-3581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17720 CORPORATE WOODS DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782593500",
"telephone_number": "210-495-3627",
"fax_number": "210-491-3581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENIGNO J. FERNANDEZ, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-13",
"last_updated": "2013-09-16",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "BENIGNO",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "210-495-3627",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "TX",
"license": "J0758",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1155525-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.