NPIMap

Organization Active NPI

Dra. Mariola Fernandez Rodriguez, LLC

  • Primary Care Clinic/Center
  • Cidra, PR
National Provider Identifier
1396034419
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
15362 Issued in PR
Legal business name
DRA. MARIOLA FERNANDEZ RODRIGUEZ, LLC
Practice address
Calle Miguel Planellas #40
Cidra, PR 00739
Phone
(787) 714-1883
Fax
(787) 714-1883
NPI assigned
Mar 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Dr. Mariola Fernandez, M.D.
Title
President
Phone
(787) 714-1883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 15362 PR Primary

Addresses

Primary practice location

Calle Miguel Planellas #40
Cidra, PR 00739

Mailing address

PO Box 371205
Cayey, PR 00737-1205
Phone (787) 714-1883

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1396034419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371205",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007371205",
            "telephone_number": "787-714-1883",
            "fax_number": "787-714-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MIGUEL PLANELLAS #40",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-714-1883",
            "fax_number": "787-714-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRA. MARIOLA FERNANDEZ RODRIGUEZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MARIOLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-714-1883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "15362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.