Organization Active NPI

Maria del Pilar Fernandez Marti, MD, LLC

  • Nephrology Physician
  • Caguas, PR
National Provider Identifier
1598209397
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
18643 Issued in PR
Legal business name
MARIA DEL PILAR FERNANDEZ MARTI, MD, LLC
Practice address
10 Calle Acosta
Caguas, PR 00725-2646
Phone
(787) 746-2858
Fax
(787) 258-0303
NPI assigned
Dec 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Maria del Pilar Fernandez, MD
Title
President
Phone
(787) 746-2858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 18643 PR Primary

Addresses

Primary practice location

10 Calle Acosta
Caguas, PR 00725-2646

Mailing address

PO Box 220
Caguas, PR 00726-0220
Phone (787) 746-2858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170713001391 PR Part B Supplier - Clinic/Group Practice 2668741232 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR; Carolina, PR; Bayamon, PR

National Provider Directory

National Provider Directory

Locations

461 Calle Francia
Ste 101
San Juan, PR 00917
Phone (787) 764-5640

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1598209397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007260220",
            "telephone_number": "787-746-2858",
            "fax_number": "787-258-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE ACOSTA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252646",
            "telephone_number": "787-746-2858",
            "fax_number": "787-258-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA DEL PILAR FERNANDEZ MARTI, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MARIA DEL PILAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-746-2858",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "18643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.