Active NPI
Wilda M Fernandez, MSW
- Clinical Social Worker
- Cabo Rojo, PR
National Provider Identifier
1538248406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6749
- Practice address
- Brau 46B St.
Suite 1
Cabo Rojo, PR 00623-0684 - Phone
- (787) 613-5719
- NPI assigned
- Nov 3, 2006
- Last updated
- Sep 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6749 | PR | Primary |
Addresses
Primary practice location
Brau 46B St.
Suite 1
Cabo Rojo, PR 00623-0684
Mailing address
PO Box 1311
Boqueron, PR 00622-1311
Phone (787) 851-6016
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6749 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221782400000",
"number": "1538248406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1311",
"city": "BOQUERON",
"state": "PR",
"postal_code": "006221311",
"telephone_number": "787-851-6016",
"fax_number": "787-851-6016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BRAU 46B ST.",
"address_2": "SUITE 1",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "006230684",
"telephone_number": "787-613-5719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "WILDA",
"middle_name": "M",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2008-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "6749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cabo Rojo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.