Miriam Fernandez, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1894 Issued in PR

Practice address

Metro Medical Center
1995 Carr. 2 Ste. 1210
Bayamon, PR 00959

Phone

(787) 786-0575

Fax

(787) 787-0412

NPI assigned

Aug 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251417600000",
    "number": "1285827873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "METRO MEDICAL CENTER",
            "address_2": "1995 CARR. 2 STE. 1210",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-786-0575",
            "fax_number": "787-787-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "METRO MEDICAL CENTER",
            "address_2": "1995 CARR. 2 STE. 1210",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-786-0575",
            "fax_number": "787-787-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2009-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "1894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herelisse Marie Fernandez Morales, OD
• Liza Marie Fernandez Rivera
• Judy Fernandez-Gallardo, M.D.
• Samuel Fernandez-Perez, MD
• Julia Isabel Fernandez, M.D.
• Ricardo Fernandez, DVM 263
• Vanessa Beatriz Fernandez
• Fernandezperez MD LLC
• Viviana Sofia Fernandini, PHARM. D
• Fernando Jimenez Seda Dentista LLC.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.