Active NPI
Candido Fernandez, BS.PH.
- Pharmacist
- Aibonito, PR
National Provider Identifier
1942349428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4361
- Practice address
- Street 722 KM 7.3 Bo Robles Happy Plaza Mall
HC 02 Box 15365
Aibonito, PR 00705 - Phone
- (787) 735-5200
- Fax
- (787) 735-3359
- NPI assigned
- Feb 5, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4361 | PR | Primary |
Addresses
Primary practice location
Street 722 KM 7.3 Bo Robles Happy Plaza Mall
HC 02 Box 15365
Aibonito, PR 00705
Mailing address
Street 722 KM 7.3 Bo Robles Happy Plaza Mall
HC 02 Box 15365
Aibonito, PR 00705
Phone (787) 735-5200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4361 | PR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942349428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "STREET 722 KM 7.3 BO ROBLES HAPPY PLAZA MALL",
"address_2": "HC 02 BOX 15365",
"city": "AIBONITO",
"state": "PR",
"postal_code": "00705",
"telephone_number": "787-735-5200",
"fax_number": "787-735-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STREET 722 KM 7.3 BO ROBLES HAPPY PLAZA MALL",
"address_2": "HC 02 BOX 15365",
"city": "AIBONITO",
"state": "PR",
"postal_code": "00705",
"telephone_number": "787-735-5200",
"fax_number": "787-735-3359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "CANDIDO",
"name_prefix": "Mr.",
"credential": "BS.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aibonito, PR
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.