Individual provider Active NPI

Joseph Fernandez Cabrera, M.D

  • Sports Medicine (Preventive Medicine) Physician
  • Bayamon, PR
National Provider Identifier
1972709012
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X
License
18523 Issued in PR
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

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140417000460 PR Practitioner - Sports MedicinePractitioner - Pediatric Medicine 5991975476 Practice locations: Bayamon, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18523PRMDSports Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics & Sports Medicine P.S.C. Sports Medicine CurrentSince Aug 23, 2020 Accepting new patients
Athletic Training and Rehab Center LLC CurrentSince Jul 5, 2020 Accepting new patients

Locations

BH9 Calle Quintana
Bayamon, PR 00956
Phone (939) 264-1889

Interoperability endpoints

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.