Active NPI
Daiana Fernandez Gonzalez, MD
- Pediatrics Physician
- Ponce, PR
National Provider Identifier
1346312246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9545
- Practice address
- 1203 Ave Munoz Rivera
Villa Mrillasca
Ponce, PR 00717-0634 - Phone
- (787) 843-4588
- Fax
- (787) 840-0907
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9545 | PR | Primary |
| Pediatrics Physician | 208000000X | 72131 | FL | |
| Pediatrics Physician | 208000000X | 11087R | LA | |
| General Practice Physician | 208D00000X | 9545 | PR | |
| General Practice Physician | 208D00000X | 72131 | FL | |
| General Practice Physician | 208D00000X | 11087R | LA |
Addresses
Primary practice location
1203 Ave Munoz Rivera
Villa Mrillasca
Ponce, PR 00717-0634
Mailing address
PO Box 7301
Ponce, PR 00732-7301
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83042 | Other | TRIPLE S | |
| 3871 | Other | IMC | |
| 3648 | Other | PREFERRED HEALTH CHOICE | |
| 584041125 | Other | COSVI | |
| 203741 | Other | PREFERRED HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110622000692 | PR | Practitioner - General Practice | 1557549508 | Practice locations: Ponce, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Ponce School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1203 Ave Munoz Rivera
Ponce, PR 00717-0634
Phone (787) 843-4588
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72131 | FL | MD | General Practice Physician |
| 11087R | LA | MD | General Practice Physician |
| 9545 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephromed, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nephrology Physician
- Ponce, PR
- NPI 1154126050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1346312246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7301",
"city": "PONCE",
"state": "PR",
"postal_code": "007327301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 AVE MUNOZ RIVERA",
"address_2": "VILLA MRILLASCA",
"city": "PONCE",
"state": "PR",
"postal_code": "007170634",
"telephone_number": "787-843-4588",
"fax_number": "787-840-0907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ GONZALEZ",
"first_name": "DAIANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "9545",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "72131",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "11087R",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "9545",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "72131",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "LA",
"license": "11087R",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "83042",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMC",
"identifier": "3871",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH CHOICE",
"identifier": "3648",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COSVI",
"identifier": "584041125",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH",
"identifier": "203741",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
- Pedro R. Felix Ramos, M.D.
- Female Consultants of Puerto Rico,CSP
- Jamie Fernanadez Soto
- Agustin Fernandez Cabrero, MD
- Natalia Sofia Fernandez Davila, MD
- Madeline Fernandez Gonzalez, M.D
- Francisco Fernandez Lombard
- Jeannielys Fernandez Quiles
- Paola Beatriz Fernandez Rivera
- Naomy Alejandra Fernandez Velez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.