DR. ROBERTO D FERNANDEZ MCCLIN (NPI# 1134536550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134536550 |
| Entity Type | Individual |
| Full Name | DR. ROBERTO D FERNANDEZ MCCLIN |
| Credential | M.D. |
| Practice Address |
735 Ave Ponce De Leon San Juan PR 00917-5022 |
| Mailing Address |
3a14 Calle Asturias Villa Del Rey 3 Caguas PR 00727-7015 |
| Practice Telephone | 7877582000 |
| Mailing Telephone | 7877582000 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2018-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 13459I | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | MEDICAL STATE LICENSE | 13459I | 01 |
| Street Address |
735 AVE PONCE DE LEON |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00917-5022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900093 | Ismael Torres Rosario | Internal Medicine | 735 Ave Ponce De Leon, Ste 408, San Juan, PR 00917-5025 | 2005-05-23 |
| 1699309161 | Oncology & Body Imaging Psc | Radiology | 735 Ave Ponce De Leon, San Juan, PR 00917-5022 | 2020-02-24 |
| 1881181394 | Leduard Leon Pons Sr. | Student in an Organized Health Care Education/Training Program | 735 Ave Ponce De Leon, San Juan, PR 00917-5022 | 2018-04-19 |
| 1326598426 | Gi Med Consulting LLC | Internal Medicine | 735 Ave Ponce De Leon, Torre Medica Auxilio Mutuo Ste 816, San Juan, PR 00918 | 2016-10-12 |
| 1780034421 | Sanglan Pediatric Surgery LLC | Surgery | 735 Ave Ponce De Leon, Clinicas Pediatricas Hospital Auxilio Mutuo, San Juan, PR 00917-0000 | 2016-06-14 |
| 1407223308 | Dra Lilliana Ramirez Garcia P.s.c. | Dermatology | 735 Ave Ponce De Leon, Suite 209, San Juan, PR 00917-5022 | 2015-08-26 |
| 1962885871 | Specialized Medical Group Inc | Internal Medicine | 735 Ave Ponce De Leon, Suite 715, San Juan, PR 00917-5022 | 2015-07-09 |
| 1366821126 | Ym Gastro LLC | Internal Medicine | 735 Ave Ponce De Leon, Torre Medica Auxilio Mutuo 707, San Juan, PR 00917-5022 | 2015-05-27 |
| 1639568132 | Liz M Betancourt | Psychologist | 735 Ave Ponce De Leon, Torre Medica De Auxlio Mutuo Suite 203, San Juan, PR 00917 | 2015-01-21 |
| 1396143673 | Optica Visual Corner | Eyewear Supplier (Equipment, not the service) | 735 Ave Ponce De Leon, Torre Medica Auxilio Mutuo Ste. 25, San Juan, PR 00917-5022 | 2014-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805744 | Enox E Alvarez-garcia | Acupuncturist | 229 Calle Juan P. Duarte Oficina 2a, Altos Cooperativa Hermanos Unidos, San Juan, PR 00917 | 2020-09-09 |
| 1427662881 | Nelly Alfonsina Cetraro | Student in an Organized Health Care Education/Training Program | Goberndor Pinero, Centro Medico De Puerto Rico, Bo. Monacillos., San Juan, PR 00917 | 2020-09-03 |
| 1912520834 | Yolanda Alvarez Pando | Student in an Organized Health Care Education/Training Program | 715 Ave Juan Ponce De Leon Pda 37.5, Hato Rey, PR 00917 | 2020-05-27 |
| 1295358240 | Orestes Quinones | Student in an Organized Health Care Education/Training Program | 715 Ave. Juan Ponce De Leon Pda 37.5, Hato Rey, PR 00917 | 2020-05-26 |
| 1992330831 | Ernie Diaz Rivera | Student in an Organized Health Care Education/Training Program | Condominio Floral Plaza, Apt 1203, Calle Los Pinos 429, San Juan, PR 00917 | 2020-03-11 |
| 1235763368 | Gisela Robles | Pharmacist | Mcs Healthcare Holdings, LLC, 255 Avenida De La Construccion, San Juan, PR 00917 | 2020-02-27 |
| 1144854530 | Marangelly Delgado-lopez | Student in an Organized Health Care Education/Training Program | Ave. Americo Miranda Bo. Monacillos, Predios Centro Medico, San Juan, PR 00917 | 2020-02-25 |
| 1467090472 | Rafael Rivera | Psychologist | Ponce De Leon Ave. #435, Hato Rey, San Juan, PR 00917 | 2019-12-20 |
| 1801432372 | Ruth E Arias Sr. | Nutritionist | Bda Buena Vista Calle D, 261, San Juan, PR 00917 | 2019-11-20 |
| 1437702032 | Lydia L Figueroa | Pediatrics | Ave Americo Miranda Bo Monacillos Hmsj, Educacion Medica Graduada 2do Piso, San Juan, PR 00917 | 2019-07-23 |
| Find all providers in zip 00917 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1508473620 | Maria Isabel De Jesus | General Practice | 881 Calle Manuel Guerra, San Juan, PR 00924-2533 | 2020-09-24 |
| 1427664762 | Carlos Ruben Alomar Lopez | General Practice | 200 Calle Cupey Gdns Ste 11w, San Juan, PR 00926-7366 | 2020-09-22 |
| 1497361117 | Victor Francisco Rivera Beltran Sr. | General Practice | 455 Calle Lirio, Mansiones De Rio Piedras, San Juan, PR 00926 | 2020-09-17 |
| 1861010191 | Monica Molina-serrano | General Practice | 342 Calle San Luis, San Juan, PR 00920-1623 | 2020-07-13 |
| 1295353910 | Vmedical Group Psc | General Practice | Calle 10 So #1534, Caparra Terrace, San Juan, PR 00921 | 2020-07-09 |
| 1851918338 | Jenniffer Ramirez Gomez | General Practice | 138 Ave Winston Churchill Pmb 922, San Juan, PR 00926-6013 | 2020-06-30 |
| 1447877949 | Paola Katsi Vissepo Martinez | General Practice | Carr 22 Barrio Monacillos Hospital Oncologico, San Juan, PR 00935-0001 | 2020-06-30 |
| 1598385049 | Mediexpreso LLC | General Practice | Villa Hucar C6 Calle Almendro, San Juan, PR 00920 | 2020-04-24 |
| 1316571912 | Charitin De Pena Gomez | General Practice | L11 Calle Ronda, San Juan, PR 00926-2309 | 2020-02-24 |
| 1093347692 | Elite Medical Clinic of Pr LLC | General Practice | 400 Ave Domenech Ste 412, Las Americas Professional Center, San Juan, PR 00918-3748 | 2020-02-11 |
| Find all providers in SAN JUAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.