Mario R Fernandez, MD

Primary specialty

Personal Emergency Response AttendantTaxonomy code 146D00000X

License

16057 Issued in PR

Practice address

Hima San Pablo del Este Ave Conquistador
Fajardo, PR 00738

Phone

(787) 863-0505

NPI assigned

Jul 26, 2006

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740204841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND CHURCHILL PARK APT F 402",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIMA SAN PABLO DEL ESTE AVE CONQUISTADOR",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-863-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MARIO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "PR",
            "license": "16057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIA CLAIM BILLING NUMBE",
            "identifier": "7000007964",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Felix-Ramos
• Jennifer Felix
• Jose Ruben Fernandez Brito, MD
• Diana Fernandez Garcia, MD
• Jazmin Emille Fernandez Rodriguez, BSN
• Dimas J Ferrer Torres, M.D
• Kiara Ferrer, OTA
• Jackmilly Figueroa Cintron, ENFERMERA
• Adeliz Figueroa Maldonado, AUDILOGIST
• Hiriana Del Carmen Figueroa, OP

• Personal Emergency Response Attendant in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Personal Emergency Response Attendant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.