Organization Active NPI

Dr. Pedro J Fernandez CSP

  • Adult Mental Health Clinic/Center
  • Mayaguez, PR
National Provider Identifier
1487792271
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
10067 Issued in PR
Legal business name
DR. PEDRO J FERNANDEZ CSP
Practice address
Calle de Diego #55-E CPR Professional Building
Suite 301
Mayaguez, PR 00680
Phone
(787) 834-2727
Fax
(787) 834-2728
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Pedro J Fernandez, MDNPI 1023284759
Title
President
Phone
(787) 834-2727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 10067 PR Primary

Addresses

Primary practice location

Calle de Diego #55-E CPR Professional Building
Suite 301
Mayaguez, PR 00680

Mailing address

PO Box 704
San German, PR 00683-0704
Phone (787) 834-2727

National Provider Directory

National Provider Directory

Locations

55 Calle de Diego E
Ste 301
Mayaguez, PR 00680
Phone (787) 834-2727

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1487792271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 704",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830704",
            "telephone_number": "787-834-2727",
            "fax_number": "787-834-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DE DIEGO #55-E CPR PROFESSIONAL BUILDING",
            "address_2": "SUITE 301",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-2727",
            "fax_number": "787-834-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PEDRO J FERNANDEZ CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-834-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PR",
            "license": "10067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.