Individual provider Active NPI

Alexandra Marie Fernandez-de Thomas, 22652 MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1528685682
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22652 Issued in PR
Practice address
Carr 22 Barrio Monacillos Hospital Oncologico
San Juan, PR 00935-0001
Phone
(787) 763-4149
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22652 PR Primary

Addresses

Primary practice location

Carr 22 Barrio Monacillos Hospital Oncologico
San Juan, PR 00935-0001

Mailing address

Carr 22 Barrio Monacillos Centro Medico
San Juan, PR 00935-0001
Phone (787) 777-3535

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230427000332 PR Practitioner - General Practice 6305211954 Reassigns benefits to 1 organization
Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22652PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Toa Baja, Inc. Current Accepting new patients
Metro Toa Baja, Inc. CurrentSince May 22, 2024 Accepting new patients
Metro Toa Baja Inc. CurrentSince May 22, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1528685682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 22 BARRIO MONACILLOS CENTRO MEDICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-777-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 22 BARRIO MONACILLOS HOSPITAL ONCOLOGICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-763-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-DE THOMAS",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "22652 MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.