Samuel A. Fernandez Lopez

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

License

8499 Issued in PR

Practice address

Carimed PLZ
B-1 Calle Santa Cruz Suite 403-404
Bayamon, PR 00961-6928

Phone

(787) 798-7070

Fax

(787) 787-2107

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

University of Puerto Rico School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: samuel.fernandezlopez@981.chartlogic.direct-ci.com
• Direct secure messaging: sjcsferna@yourcarecommunity.org

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.

• Hernandez Gonzalez Orthopedic Services, PSC

  • Orthopaedic Trauma Physician
  • Bayamon, PR
  • NPI 1619394640
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1447225776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CALLE ZORZAL",
            "address_2": "URB. MONTEHIEDRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267111",
            "telephone_number": "787-798-7070",
            "fax_number": "787-787-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARIMED PLZ",
            "address_2": "B-1 CALLE SANTA CRUZ SUITE 403-404",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616928",
            "telephone_number": "787-798-7070",
            "fax_number": "787-787-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ LOPEZ",
        "first_name": "SAMUEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "PR",
            "license": "8499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "83628",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "7310137",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenel Fernandes Barbosa, MD
• Joseph Fernandez Cabrera, M.D
• Maria M Fernandez Fontan, RPT
• Valeria Fernandez Garcia, PSYD
• Fernandez Lopez Orthopedic Services PSC
• Haylisse Marie Fernandez Martinez, PHARMD, RPH
• Paola B Fernandez Molinary, MD
• Herelisse Marie Fernandez Morales, OD
• Liza Marie Fernandez Rivera
• Judy Fernandez-Gallardo, M.D.

• Pediatric Orthopaedic Surgery Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Pediatric Orthopaedic Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.

Verify at the official NPI Registry.