Active NPI
Fernando Vizcarrondo, M.D.
- Surgery Physician
- San Juan, PR
National Provider Identifier
1336121425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 6479
- Practice address
- 369 Ave de Diego
Of. 301 Torre San Francisco
San Juan, PR 00923-3003 - Phone
- (787) 754-0055
- Fax
- (787) 754-0061
- NPI assigned
- Nov 15, 2005
- Last updated
- Nov 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 6479 | PR | Primary |
Addresses
Primary practice location
369 Ave de Diego
Of. 301 Torre San Francisco
San Juan, PR 00923-3003
Mailing address
A7 Calle Hucar
Villa Hucar
San Juan, PR 00926-6818
Phone (787) 754-0055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384128000000",
"number": "1336121425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "A7 CALLE HUCAR",
"address_2": "VILLA HUCAR",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266818",
"telephone_number": "787-754-0055",
"fax_number": "787-754-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 AVE DE DIEGO",
"address_2": "OF. 301 TORRE SAN FRANCISCO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009233003",
"telephone_number": "787-754-0055",
"fax_number": "787-754-0061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIZCARRONDO",
"first_name": "FERNANDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2013-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PR",
"license": "6479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.