Individual provider Active NPI

Jacqueline Fernandez Estrada, MD

  • Internal Medicine Physician
  • Cayey, PR
National Provider Identifier
1548378623
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10709 Issued in PR
Practice address
Carr 14 KM 72.2
Bo Rincon Sector Lomas
Cayey, PR 00737-2800
Phone
(787) 535-1001
Fax
(787) 535-1012
NPI assigned
Aug 28, 2006
Last updated
Jul 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10709 PR Primary

Addresses

Primary practice location

Carr 14 KM 72.2
Bo Rincon Sector Lomas
Cayey, PR 00737-2800

Mailing address

PO Box 962
Boqueron, PR 00622-0962
Phone (787) 851-0250

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
I20140603000349 PR Practitioner - Internal Medicine 3476776873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Menonita de CayeyGroup PAC ID 2466449657, 57 clinicians

Practice addresses (Care Compare)

Carretera 14 Interior
Bo Rincon
Cayey, PR 00737-2800
Phone (787) 434-1700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10709PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc CurrentSince May 4, 2019 Accepting new patients
Mennonite General Hospital Inc. CurrentSince May 4, 2019 Accepting new patients
Hospital Menonita de Cayey CurrentSince Jan 1, 2016 Accepting new patients
Hospital Menonita de Cayey CurrentSince Jan 1, 2016 Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1548378623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 962",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "006220962",
            "telephone_number": "787-851-0250",
            "fax_number": "787-851-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 14 KM 72.2",
            "address_2": "BO RINCON SECTOR LOMAS",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007372800",
            "telephone_number": "787-535-1001",
            "fax_number": "787-535-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ ESTRADA",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "10709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.