Benigno J Fernandez, M.D., P.A.

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

J0758 Issued in TX

Practice address

17720 Corporate Woods Dr
San Antonio, TX 78259-3500

Phone

(210) 495-3627

NPI assigned

Nov 2, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

Locations

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.

• Benigno J Fernandez, M.D., P.a.

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1467677930

  Psychiatric Unit

  Medicare reassignment NPD Authorized official
• Benigno J. Fernandez, M.D.

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1245434182
  Authorized official Same address or phone
• Texas Laurel Ridge Hospital LP

  dba Laurel Ridge Treatment Center

  • Psychiatric Hospital
  • San Antonio, TX
  • NPI 1043280951
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598843823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 ELIZABETH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095935",
            "telephone_number": "210-930-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17720 CORPORATE WOODS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782593500",
            "telephone_number": "210-495-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "BENIGNO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "TX",
            "license": "J0758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1155525-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorena M Fernandez-Restrepo, M.D.
• Diego Daniel Fernandez-Vargas
• Alberto T. Fernandez, M.D.
• Alexa Fernandez
• Amnerys Fernandez
• Brenda Fernandez, LAC
• Camille Patrice Fernandez
• Carolina Iliana Fernandez, PA-C
• Cathryn Jean Fernandez, M.A.,CCC-SLP
• Christian Robin Fernandez

• Psychiatric Hospital Unit in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatric Hospital Unit in Texas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.