NPIMap

Organization Active NPI

Pediatrics & Sports Medicine P.S.C.

  • Pediatric Sports Medicine Physician
  • Bayamon, PR
National Provider Identifier
1245665140
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sports Medicine PhysicianTaxonomy code 2080S0010X
Legal business name
PEDIATRICS & SPORTS MEDICINE P.S.C.
Practice address
Urb Santa Juanita, Calle Quintana BH9
Bayamon, PR 00956
Phone
(939) 264-1889
NPI assigned
Sep 10, 2013
Last updated
Aug 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Joseph Fernandez, M.D.
Title
President
Phone
(732) 456-0209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Sports Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080S0010X Primary

Addresses

Primary practice location

Urb Santa Juanita, Calle Quintana BH9
Bayamon, PR 00956

Mailing address

PO Box 12336
San Juan, PR 00914-0336

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1245665140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12336",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009140336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB SANTA JUANITA, CALLE QUINTANA BH9",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "939-264-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS & SPORTS MEDICINE P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-456-0209",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.