Individual provider Active NPI

Jose Ruben Fernandez Brito, MD

  • Gynecology Physician
  • Fajardo, PR
National Provider Identifier
1912013624
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
007437 Issued in PR
Practice address
311 Ave General Valero
Suite a
Fajardo, PR 00738-4843
Phone
(956) 782-4002
Fax
(956) 782-4004
NPI assigned
Aug 23, 2006
Last updated
Aug 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J7954 TX
Gynecology Physician 207VG0400X 007437 PR Primary

Addresses

Primary practice location

311 Ave General Valero
Suite a
Fajardo, PR 00738-4843

Mailing address

311 Ave General Valero
Fajardo, PR 00738-4843
Phone (787) 655-2335

Other identifiers 1

IdentifierTypeStateIssuer
115831302MedicaidTX

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
I20160822001854 PR Practitioner - Obstetrics/Gynecology 8921277245 Reassigns benefits to 1 organization
Practice locations: Fajardo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7437PRMDClinical Psychologist
007437PRMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hospital Inc CurrentSince Jan 3, 2022 Accepting new patients
Centro Medico del Turabo Inc Current Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jan 3, 2022 Accepting new patients
Jose R.Fernandez MD,LLC Gynecology Past Accepting new patients
Alberto D Duran M.D P.a. Obstetrics & Gynecology Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

404 Ave General Valero
Fajardo, PR 00738
Phone (781) 299-4731

Interoperability endpoints

  • Direct secure messaging: jose.fernandezbrito.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1912013624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 AVE GENERAL VALERO",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384843",
            "telephone_number": "787-655-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 AVE GENERAL VALERO",
            "address_2": "SUITE A",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384843",
            "telephone_number": "956-782-4002",
            "fax_number": "956-782-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ BRITO",
        "first_name": "JOSE",
        "middle_name": "RUBEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J7954",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PR",
            "license": "007437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115831302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.