Active NPIIndividual providerSole proprietor

Mr. Eddie Fernandez, MT

Technician, Pathology, Medical Laboratory in Lares, Puerto Rico

NPI Number1316117872
Practice location
Carr 129 Km 21.8, Bo Callejones, Lares, PR 00669
Fax
787-897-0263
Last updated
March 28, 2008

Eddie Fernandez is a Technician, Pathology, Medical Laboratory based in Lares, PR. Eddie Fernandez practices in Lares, PR and has the professional credentials of MT. The NPI Number for Eddie Fernandez is 1316117872 and holds a License No. 4047 (PR). The current practice location address for Eddie Fernandez is Carr 129 Km 21.8, Bo Callejones, Lares, PR 00669 and can be reached out via phone at 787-897-0263 and via fax at 787-897-0263.

Provider Profile Details

NPI Number
1316117872
Provider Name
Eddie Fernandez
Credential
MT
Provider Entity Type
Individual
Gender
Male
Address
Carr 129 Km 21.8, Bo Callejones, Lares, PR 00669
Phone Number
787-897-0263
Fax Number
787-897-0263
Primary Taxonomy
Technician, Pathology, Medical Laboratory · 246RM2200X
Sole Proprietor
Yes
Provider Enumeration Date
March 11, 2008
Last Update Date
March 28, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr 129 Km 21.8
Bo Callejones
Lares, PR 00669
City
Lares
Zip
00669
Phone Number
787-897-0263
Fax Number
787-897-0263
Lares, PR 00669Get directions →

Provider Business Mailing Address Details

Address
P O Box 143233
Arecibo, PR 00614
City
Arecibo
State
PR
Zip
00614
Phone Number
787-897-0263
Fax Number
787-897-0263

License Information

License Number
4047
License State
PR
Taxonomy
Technician, Pathology, Medical Laboratory · 246RM2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Eddie Fernandez, MT?

The NPI number of Mr. Eddie Fernandez, MT is 1316117872. It was assigned on March 11, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Eddie Fernandez, MT?

Mr. Eddie Fernandez, MT is registered under the primary taxonomy Technician, Pathology, Medical Laboratory (code 246RM2200X), licensed in PR under license number 4047.

Where does Mr. Eddie Fernandez, MT practice?

The practice location is Carr 129 Km 21.8, Bo Callejones, Lares, PR 00669. The office can be reached at 787-897-0263 (phone) or 787-897-0263 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316117872 directly on the NPPES registry website.

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