Individual provider Active NPI

Carmen A Fernandez, O.D.

  • Optometrist
  • Guaynabo, PR
National Provider Identifier
1588600324
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0247 Issued in PR
Practice address
B7 Camino Alejandrino
Villa Clementina
Guaynabo, PR 00969-4702
Phone
(787) 790-1622
Fax
(787) 790-1622
NPI assigned
Jun 21, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0247 PR Primary

Addresses

Primary practice location

B7 Camino Alejandrino
Villa Clementina
Guaynabo, PR 00969-4702

Mailing address

B7 Camino Alejandrino
Villa Clementina
Guaynabo, PR 00969-4702
Phone (787) 790-1622

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

LicenseStateTypeSpecialty
0247PRMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1588600324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B7 CAMINO ALEJANDRINO",
            "address_2": "VILLA CLEMENTINA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694702",
            "telephone_number": "787-790-1622",
            "fax_number": "787-790-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B7 CAMINO ALEJANDRINO",
            "address_2": "VILLA CLEMENTINA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694702",
            "telephone_number": "787-790-1622",
            "fax_number": "787-790-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "CARMEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "0247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.