Active NPIIndividual providerSole proprietor

Mario R Fernandez Gonzalez, MD

General Practice in Guayama, Puerto Rico

NPI Number1386106334
Practice location
80 Calle 3 Sur, Guayama, PR 00784
Fax
—
Last updated
July 26, 2021

Mario R Fernandez Gonzalez is a General Practice based in Guayama, PR. Mario R Fernandez Gonzalez practices in Guayama, PR and has the professional credentials of MD. The NPI Number for Mario R Fernandez Gonzalez is 1386106334 and holds a License No. 21304 (PR). The current practice location address for Mario R Fernandez Gonzalez is 80 Calle 3 Sur, Guayama, PR 00784 and can be reached out via phone at 787-866-1212.

Provider Profile Details

NPI Number
1386106334
Provider Name
Mario R Fernandez Gonzalez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
80 Calle 3 Sur, Guayama, PR 00784
Phone Number
787-866-1212
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 1, 2019
Last Update Date
July 26, 2021
Certification Date
July 26, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 Calle 3 Sur
Guayama, PR 00784
Zip
00784
Phone Number
787-866-1212
Guayama, PR 00784Get directions →

Provider Business Mailing Address Details

Address
W8-27 Calle Tirso De Molina
San Juan, PR 00926-6809
City
San Juan
State
PR
Zip
00926-6809
Phone Number
305-775-8792

License Information

License Number
21304
License State
PR
Taxonomy
General Practice · 208D00000X · 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 Mario R Fernandez Gonzalez, MD?

The NPI number of Mario R Fernandez Gonzalez, MD is 1386106334. It was assigned on April 1, 2019 and is currently active in the NPPES registry.

What is the specialty of Mario R Fernandez Gonzalez, MD?

Mario R Fernandez Gonzalez, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 21304.

Where does Mario R Fernandez Gonzalez, MD practice?

The practice location is 80 Calle 3 Sur, Guayama, PR 00784. The office can be reached at 787-866-1212 (phone).

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 1386106334 directly on the NPPES registry website.

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