Individual provider Active NPI

Tania Torres Fernandez, M.D.

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1679540611
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15389 Issued in PR
Practice address
E6 Calle Marginal
Bayamon, PR 00961-6708
Phone
(888) 900-0013
Fax
(787) 289-8715
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15389 PR Primary

Addresses

Primary practice location

E6 Calle Marginal
Bayamon, PR 00961-6708

Mailing address

474 Calle de Diego Apt 1A6
San Juan, PR 00923-3101
Phone (787) 955-5518

Other practice location 1

Calle Dr. Veve #51 Esq. Marti
Bayamon, PR 00961
Phone (787) 780-1445 ext. 219

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20080226000205 PR Practitioner - General Practice 6709960099 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Advantage Health Center LLCGroup PAC ID 7012301013, 6 clinicians

Practice addresses (Care Compare)

15 Ave Munoz Rivera
San Juan, PR 00901-2480
Phone (888) 900-0073

Hospital & facility affiliations

  • Presbyterian Community Hospital Hospital, San Juan, PR, CCN 400001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15389PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Center LLC General Practice CurrentSince Jan 1, 2022 Accepting new patients
Community Health Foundation of Puerto Rico, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Cooperativa de Facultad Medica Sanacoop CurrentSince Aug 1, 2015 Accepting new patients
Advantage Rehab and Wellness Center LLC CurrentSince Nov 5, 2023 Accepting new patients
Community Health Foundation of Puerto Rico, Inc. General Practice CurrentSince Aug 1, 2015 Accepting new patients
Cmda de Puertorico, Inc. Past Accepting new patients

Locations

B7 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 780-9191

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1679540611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 CALLE DE DIEGO APT 1A6",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233101",
            "telephone_number": "787-955-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E6 CALLE MARGINAL",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616708",
            "telephone_number": "888-900-0013",
            "fax_number": "787-289-8715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Dr. Veve #51 Esq. Marti",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "00961",
            "country_code": "US",
            "telephone_number": "787-780-1445 x219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES FERNANDEZ",
        "first_name": "TANIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.