Active NPI
Jenialeen Fernandez Fonseca, RN
- Registered Nurse
- Carolina, PR
National Provider Identifier
1346592599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 15554
- Practice address
- Urb. Los Angeles Calle Acuario 101
Isla Verde
Carolina, PR 00919-0919 - Phone
- (939) 630-9243
- NPI assigned
- Oct 12, 2012
- Last updated
- Oct 12, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 15554 | PR | Primary |
Addresses
Primary practice location
Urb. Los Angeles Calle Acuario 101
Isla Verde
Carolina, PR 00919-0919
Mailing address
HC 2 Box 29424
Caguas, PR 00727-9475
Phone (939) 630-9243
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15554 | PR | MD | Addiction Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350000000000",
"number": "1346592599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 2 BOX 29424",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007279475",
"telephone_number": "939-630-9243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. LOS ANGELES CALLE ACUARIO 101",
"address_2": "ISLA VERDE",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009190919",
"telephone_number": "939-630-9243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ FONSECA",
"first_name": "JENIALEEN",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-12",
"last_updated": "2012-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "15554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.