Active NPIIndividual provider

Itza M Dorta Fernandez

Audiologist in San Sebastian, Puerto Rico

NPI Number1558230862
Practice location
Barrio Hato Arriba Suite 18, Carr 111 San Sebastian, San Sebastian, PR 00685-9998
Fax
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Last updated
November 4, 2025

Itza M Dorta Fernandez is an Audiologist based in San Sebastian, PR. Itza M Dorta Fernandez practices in San Sebastian, PR. The NPI Number for Itza M Dorta Fernandez is 1558230862 and holds a License No. 0555 (PR). The current practice location address for Itza M Dorta Fernandez is Barrio Hato Arriba Suite 18, Carr 111 San Sebastian, San Sebastian, PR 00685-9998 and can be reached out via phone at 787-280-0200.

Provider Profile Details

NPI Number
1558230862
Provider Name
Itza M Dorta Fernandez
Provider Entity Type
Individual
Gender
Female
Address
Barrio Hato Arriba Suite 18, Carr 111 San Sebastian, San Sebastian, PR 00685-9998
Phone Number
787-280-0200
Primary Taxonomy
Audiologist · 231H00000X
Sole Proprietor
No
Provider Enumeration Date
November 4, 2025
Last Update Date
November 4, 2025
Certification Date
October 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
Barrio Hato Arriba Suite 18
Carr 111 San Sebastian
San Sebastian, PR 00685-9998
Zip
00685-9998
Phone Number
787-280-0200
San Sebastian, PR 00685Get directions →

Provider Business Mailing Address Details

Address
Po Box 193069
San Juan, PR 00919-3069
City
San Juan
State
PR
Zip
00919-3069
Phone Number
787-761-0036

License Information

License Number
0555
License State
PR
Taxonomy
Audiologist · 231H00000X · 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 Itza M Dorta Fernandez?

The NPI number of Itza M Dorta Fernandez is 1558230862. It was assigned on November 4, 2025 and is currently active in the NPPES registry.

What is the specialty of Itza M Dorta Fernandez?

Itza M Dorta Fernandez is registered under the primary taxonomy Audiologist (code 231H00000X), licensed in PR under license number 0555.

Where does Itza M Dorta Fernandez practice?

The practice location is Barrio Hato Arriba Suite 18, Carr 111 San Sebastian, San Sebastian, PR 00685-9998. The office can be reached at 787-280-0200 (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 1558230862 directly on the NPPES registry website.

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