Rodolfo Antonio Fernandez-Gonzalez Sr.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1303 Issued in PR

Practice address

1708 Ave Ponce de Leon
Suit 202
Santurce, PR 00909-1918

Phone

(787) 728-6471

Fax

(787) 727-7155

NPI assigned

Apr 22, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Rodolfo Antonio Fernandez-Gonzalez Sr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1285809137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 AVE PONCE DE LEON",
            "address_2": "SUIT 202",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009091918",
            "telephone_number": "787-728-6471",
            "fax_number": "787-727-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 AVE PONCE DE LEON",
            "address_2": "SUIT 202",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009091918",
            "telephone_number": "787-728-6471",
            "fax_number": "787-727-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-GONZALEZ",
        "first_name": "RODOLFO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RODOLFO",
            "last_name": "FERNANDEZ-GONZALEZ",
            "middle_name": "ANTONIO",
            "prefix": "DR.",
            "suffix": "SR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Farmacia Perales
• Farmacia San Jorge Children'S Hospital
• Farmacia the San Jorge Hospital Inc
• Hazel Faunde Iglesias, MSW
• Felix J Seda ENT PSC
• Eduardo Fernandez
• Pedro M Fernandez
• Samaris Ferrer Lassala
• Monica Figueroa, RN
• Natalio Figueroa, M.D.

• Clinical Psychologist in Santurce, PR
• Providers in Santurce, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.