Individual provider Active NPI

Carlos Perez Fernandez, MD

  • Lodging Provider
  • Bayamon, PR
National Provider Identifier
1649280090
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
License
12327 Issued in PR
Practice address
MK6 Plaza 44
Urb. Monte Claro
Bayamon, PR 00961-4787
Phone
(787) 649-9837
Fax
(787) 780-7168
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X 12327 PR Primary

Addresses

Primary practice location

MK6 Plaza 44
Urb. Monte Claro
Bayamon, PR 00961-4787

Mailing address

MK6 Plaza 44
Urb. Monte Claro
Bayamon, PR 00961-4787
Phone (787) 649-9837

Other names 1

  • Dr. Carlos Perez Fernandez Professional name

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
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Asociacion Hospital del Maestro Inc Past Accepting new patients
E & E Diagnostic Services, Inc Past Accepting new patients

Organizations & group practices 2

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1649280090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MK6 PLAZA 44",
            "address_2": "URB. MONTE CLARO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614787",
            "telephone_number": "787-649-9837",
            "fax_number": "787-780-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MK6 PLAZA 44",
            "address_2": "URB. MONTE CLARO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614787",
            "telephone_number": "787-649-9837",
            "fax_number": "787-780-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ FERNANDEZ",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "PR",
            "license": "12327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "PEREZ FERNANDEZ",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.