Active NPI
Beatriz Hercilia Fernandez, MD
- General Practice Physician
- Humacao, PR
National Provider Identifier
1962518340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11482
- Practice address
- 301 Calle Font Martelo
Humacao, PR 00791-3204 - Phone
- (787) 850-8985
- Fax
- (787) 850-8985
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 11482 | PR | Primary |
Addresses
Primary practice location
301 Calle Font Martelo
Humacao, PR 00791-3204
Mailing address
Font Martelo Avenue 301
Humacao, PR 00791-3204
Phone (787) 850-8985
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7910022 | Other | PR | HUMANA INSURANCE |
| 060632 | Other | PR | CRUZ AZUL |
| 3311482 | Other | PR | UIA |
| 1914 | Other | PR | AMERICAN HEALTH |
| 7046 | Other | PR | FIRST MEDICAL |
| 87773FE | Other | PR | TRIPLE S |
| 2985 | Other | PR | PAN AMERICAN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humacaohomecare | Past | Accepting new patients | |
| San Medical Equipment | Past | Accepting new patients |
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.
-
- Adult Care Home Facility
- Humacao, PR
- NPI 1275726028
-
- Durable Medical Equipment & Medical Supplies
- Humacao, PR
- NPI 1639314750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962518340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FONT MARTELO AVENUE 301",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007913204",
"telephone_number": "787-850-8985",
"fax_number": "787-850-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 CALLE FONT MARTELO",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007913204",
"telephone_number": "787-850-8985",
"fax_number": "787-850-8985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "BEATRIZ",
"middle_name": "HERCILIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "11482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA INSURANCE",
"identifier": "7910022",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "060632",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UIA",
"identifier": "3311482",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH",
"identifier": "1914",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "7046",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "87773FE",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PAN AMERICAN",
"identifier": "2985",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Humacao, 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.