Jullissa Thais Fernandez, MSN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

85298 Issued in PR

Practice address

PO Box 191227
San Juan, PR 00919-1227

Phone

(787) 758-2000

NPI assigned

Jan 29, 2025

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1407669955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ALTURAS DE FLAMBOYAN",
            "address_2": "C-8 CALLE 6",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009598140",
            "telephone_number": "787-565-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 191227",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191227",
            "telephone_number": "787-758-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JULLISSA",
        "middle_name": "THAIS",
        "credential": "MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "PR",
            "license": "85298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ileana Fernandez, D.M.D.
• Ileen F. Fernandez, MSW
• Joaquin Fernandez, MD
• Jorge Fernandez
• Jose Rafael Fernandez
• Kenny Arkel Fernandez
• Lydia R Fernandez, MD
• Marcos Fernandez
• Mayra Fernandez, ATO
• Orlando S Fernandez, MD

• Emergency Registered Nurse in San Juan, PR
• Providers in San Juan, PR by specialty
• Emergency Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.