Individual provider Active NPI

Camila Beatriz Fernandez Lockwood, MD

  • Child & Adolescent Psychiatry Physician
  • San Juan, PR
National Provider Identifier
1891248407
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
22336 Issued in PR
Practice address
258 Calle San Jorge Suite 203
San Jorge Medical Building
San Juan, PR 00912
Phone
(787) 727-7276
NPI assigned
Jul 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 22336 PR
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X 22336 PR Primary

Addresses

Primary practice location

258 Calle San Jorge Suite 203
San Jorge Medical Building
San Juan, PR 00912

Mailing address

400 Calle Un Apt 514
Guaynabo, PR 00969-8012
Phone (787) 486-2226

Other practice location 1

Univ. of P.R. Medical Sciences Campus Main Building
Dept. of Psychiatry 9th Floor Office A-994
San Juan, PR 00093
Phone (787) 758-2525 ext. 1923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250508002481 PR Practitioner - Psychiatry 7113444597 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22336PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
Recinto de Ciencias Medicas Single Specialty CurrentSince Mar 1, 2025 Accepting new patients

Locations

Centro Medico De Puerto Rico Bo Monacillos
San Juan, PR 00935

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": "1469923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1891248407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CALLE UN APT 514",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009698012",
            "telephone_number": "787-486-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 CALLE SAN JORGE SUITE 203",
            "address_2": "SAN JORGE MEDICAL BUILDING",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "787-727-7276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Univ. of P.R. Medical Sciences Campus Main Building",
            "address_2": "Dept. of Psychiatry 9th Floor Office A-994",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00093",
            "country_code": "US",
            "telephone_number": "787-758-2525 x1923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ LOCKWOOD",
        "first_name": "CAMILA",
        "middle_name": "BEATRIZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-31",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "22336",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "22336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.