Active NPI
Joseph Fernandez Cabrera, M.D
- Sports Medicine (Preventive Medicine) Physician
- Bayamon, PR
National Provider Identifier
1972709012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Preventive Medicine) Physician
- License
- 18523
- Practice address
- Athletic Training
Urb Santa Juanita, Calle Quintana BH9
Bayamon, PR 00956 - Phone
- (939) 264-1889
- NPI assigned
- Jun 25, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Sports Medicine Physician | 2080S0010X | 18523 | PR | |
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | 25MA08776600 | NJ | |
| Pediatrics Physician | 208000000X | 18523 | PR | |
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | 18523 | PR | Primary |
Addresses
Primary practice location
Athletic Training
Urb Santa Juanita, Calle Quintana BH9
Bayamon, PR 00956
Mailing address
PO Box 12336
Pediatrics and Sports Medicine PCS
San Juan, PR 00914-0336
Phone (732) 255-3877
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140417000460 | PR | Practitioner - Sports Medicine | 5991975476 | Practice locations: Bayamon, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18523 | PR | MD | Sports Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics & Sports Medicine P.S.C. | Sports Medicine | Current | Accepting new patients |
| Athletic Training and Rehab Center LLC | Current | Accepting new patients |
Locations
BH9 Calle Quintana
Bayamon, PR 00956
Phone (939) 264-1889
Interoperability endpoints
- sjcjferna@yourcarecommunity.org
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.
-
- Rehabilitation Clinic/Center
- Bayamon, PR
- NPI 1780123117
-
- Pediatric Sports Medicine Physician
- Bayamon, PR
- NPI 1245665140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1972709012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12336",
"address_2": "PEDIATRICS AND SPORTS MEDICINE PCS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009140336",
"telephone_number": "732-255-3877",
"fax_number": "732-255-3885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ATHLETIC TRAINING",
"address_2": "URB SANTA JUANITA, CALLE QUINTANA BH9",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "939-264-1889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ CABRERA",
"first_name": "JOSEPH",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-25",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "PR",
"license": "18523",
"primary": false
},
{
"code": "2083S0010X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Sports Medicine",
"state": "NJ",
"license": "25MA08776600",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "18523",
"primary": false
},
{
"code": "2083S0010X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Sports Medicine",
"state": "PR",
"license": "18523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
- Female Urology and Reconstructive Surgery, LLC
- Fenix Med, LLC
- Gerard Charles Fequiere, PSY D.
- Gamalis Esther Fermin Cotto
- Kenel Fernandes Barbosa, MD
- Maria M Fernandez Fontan, RPT
- Valeria Fernandez Garcia, PSYD
- Fernandez Lopez Orthopedic Services PSC
- Samuel A. Fernandez Lopez
- Haylisse Marie Fernandez Martinez, PHARMD, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.