Jessenia Fernandez
Individual provider Active NPI Registered Nurse · Patillas, PR
NPI 1801330642 · NPPES record last updated Dec 13, 2016
Key facts
- NPI
- 1801330642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 76828 (PR)
- Practice address
- 99 Calle Guillermo Riefkohl
Patillas, PR 00723 - Phone
- (787) 839-4320
- Fax
- (787) 271-0004
- NPI assigned
- Dec 13, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76828 | PR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 76828 | PR | Yes |
Addresses
Primary practice location
99 Calle Guillermo Riefkohl
Patillas, PR 00723
Mailing address
99 Calle Guillermo Riefkohl
Patillas, PR 00723
Phone (787) 839-4320
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76828 | Other | PR | 76828 |
Other providers in Patillas, PR
- Anabel Espada-Torres
- Widna Del Moral Espada
- Estlyan Lab, Inc
- Denisse Leilanie Estrada
- Farmacia Jomari Inc
- Joanly Fernandez
- Sharlene Figueroa Cosme
- Shirley Figueroa Gonzalez
- Bethzaida Figueroa
- Elba Flores
All providers in Patillas, PR · Registered Nurse in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.