Willy Amaury Fernandez, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2648 Issued in PR

Practice address

2 Medical Emporium Suite 3a
Mayaguez, PR 00680

Phone

(787) 528-7690

NPI assigned

Feb 2, 2011

Last updated

Jan 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1255637633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CALLE CARMEN MERCADO",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006765060",
            "telephone_number": "787-528-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL EMPORIUM SUITE 3A",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-528-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "WILLY",
        "middle_name": "AMAURY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-02",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "2648",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "2648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coralis Fernandez Semidey
• Pedro Fernandez, PHD
• Pedro J Fernandez, M.D.
• Sandra M Fernandez, M.D.
• Werner M Fernandez, M.D.
• Ashley Mar Fernandini Soto, MD
• Thais Elora Ferrer Colon, MD
• Marlyn I. Ferrer
• Mary Ferrer, PH.D
• Gloria D Fidalgo Cordova, PHD, RDN, LDN

• Psychologist in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.