Individual provider Active NPI

Paloma Alexander Ortiz Fernandez, FNP-BC

  • Family Nurse Practitioner
  • San Juan, PR
National Provider Identifier
1588309405
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4184 Issued in PR
Practice address
405 Calle German Moyer
San Juan, PR 00918-2679
Phone
(939) 902-4868
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4184 PR Primary

Addresses

Primary practice location

405 Calle German Moyer
San Juan, PR 00918-2679

Mailing address

Oo12 Calle 5
Bayamon, PR 00957-6239
Phone (787) 689-4511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230911001651 FL Practitioner - Nurse Practitioner 9133583198 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4184PRMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Jacksonville CurrentSince Aug 31, 2023 Accepting new patients
Mayo Clinic Jacksonville Current Accepting new patients
Mayo Clinic Jacksonville CurrentSince Aug 31, 2023 Accepting new patients
Colon Cancer Care LLC CurrentSince Jul 13, 2025 Accepting new patients
PR Oncology LLC PastSince May 1, 2022 Accepting new patients

Locations

4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

405 Calle German Moyer
San Juan, PR 00918
Phone (787) 607-1502

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1588309405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OO12 CALLE 5",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009576239",
            "telephone_number": "787-689-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CALLE GERMAN MOYER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182679",
            "telephone_number": "939-902-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ FERNANDEZ",
        "first_name": "PALOMA",
        "middle_name": "ALEXANDER",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PR",
            "license": "4184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.