Active NPI
Fernando Viejo, 333
- Veterinarian
- Carolina, PR
National Provider Identifier
1497195879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 333
- Practice address
- C Marte 126 Atlantis View
Isla Verde
Carolina, PR 00982-0982 - Phone
- (787) 644-3889
- Fax
- (787) 268-2787
- NPI assigned
- Jun 28, 2013
- Last updated
- Jun 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 333 | PR | Primary |
| Medical Research Veterinarian | 174MM1900X | 33 | PR |
Addresses
Primary practice location
C Marte 126 Atlantis View
Isla Verde
Carolina, PR 00982-0982
Mailing address
C Marte 126 Atlantis View
Isla Verde
Carolina, PR 00979
Phone (787) 644-3889
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33 | PR | MD | Clinical Psychologist |
| 333 | PR | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1497195879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C MARTE 126 ATLANTIS VIEW",
"address_2": "ISLA VERDE",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00979",
"telephone_number": "787-644-3889",
"fax_number": "787-268-2787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C MARTE 126 ATLANTIS VIEW",
"address_2": "ISLA VERDE",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009820982",
"telephone_number": "787-644-3889",
"fax_number": "787-268-2787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIEJO",
"first_name": "FERNANDO",
"credential": "333",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-28",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "PR",
"license": "333",
"primary": true
},
{
"code": "174MM1900X",
"taxonomy_group": "",
"desc": "Veterinarian, Medical Research",
"state": "PR",
"license": "33",
"primary": false
}
],
"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 Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.