Individual provider Active NPI

Ricardo Fernandez, DVM 263

  • Veterinarian
  • Bayamon, PR
National Provider Identifier
1942493770
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
PR 263 Issued in PR
Practice address
X12 Calle 17
Royal Town
Bayamon, PR 00956-4534
Phone
(787) 279-7990
NPI assigned
Aug 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X PR 263 PR Primary

Addresses

Primary practice location

X12 Calle 17
Royal Town
Bayamon, PR 00956-4534

Mailing address

X12 Calle 17
Royal Town
Bayamon, PR 00956-4534
Phone (787) 279-7990

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

LicenseStateTypeSpecialty
PR 263PRMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1942493770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "X12 CALLE 17",
            "address_2": "ROYAL TOWN",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564534",
            "telephone_number": "787-279-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "X12 CALLE 17",
            "address_2": "ROYAL TOWN",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564534",
            "telephone_number": "787-279-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "DVM 263",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "PR",
            "license": "PR 263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.

Verify at the official NPI Registry.