Individual provider Active NPI

Victor E. Fernandez, DMD

  • Endodontics
  • Caguas, PR
National Provider Identifier
1679570212
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
792 Issued in PR
Practice address
#50 Luis Munoz Marin Ave. Quadrangle Med. Center
Suite #308
Caguas, PR 00725
Phone
(787) 258-9080
Fax
(787) 258-9079
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 792 PR Primary

Addresses

Primary practice location

#50 Luis Munoz Marin Ave. Quadrangle Med. Center
Suite #308
Caguas, PR 00725

Mailing address

#50 Luis Munoz Marin Ave.
Suite #308 Quadrangle Medical Center
Caguas, PR 00725-0842
Phone (787) 258-9080

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
792PRMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Endodontic Associates of Puerto Rico LLC Endodontics PastSince May 18, 2025 Accepting new patients

Organizations & group practices 1

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242950400000",
    "number": "1679570212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#50 LUIS MUNOZ MARIN AVE.",
            "address_2": "SUITE #308 QUADRANGLE MEDICAL CENTER",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007250842",
            "telephone_number": "787-258-9080",
            "fax_number": "787-258-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#50 LUIS MUNOZ MARIN AVE. QUADRANGLE MED. CENTER",
            "address_2": "SUITE #308",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-258-9080",
            "fax_number": "787-258-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "VICTOR",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2009-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PR",
            "license": "792",
            "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 May 22, 2009; 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.