DR. MARIO R FERNANDEZ (NPI# 1740204841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740204841 |
| Entity Type | Individual |
| Full Name | DR. MARIO R FERNANDEZ |
| Credential | MD |
| Practice Address |
Hima San Pablo Del Este Ave Conquistador Fajardo PR 00738 |
| Mailing Address |
Cond Churchill Park Apt F 402 San Juan PR 00926 |
| Practice Telephone | 7878630505 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146D00000X | Personal Emergency Response Attendant | 16057 | PR | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | MEDIA CLAIM BILLING NUMBE | 7000007964 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437615333 | Mario Ivan Fernandez | Physical Therapist | 5787a Nw 151st St, Miami Lakes, FL 33014-2490 | 2019-02-15 |
| 1326204744 | Mario Benjamin Fernandez | Emergency Medicine | 11212 State Highway 151, San Antonio, TX 78251-4498 | 2008-08-05 |
| Street Address |
HIMA SAN PABLO DEL ESTE AVE CONQUISTADOR |
| City | FAJARDO |
| State | PR |
| Zip Code | 00738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457979015 | Angerosa Tu Salud Inc | Registered Nurse | 1-101 Paseo Esmeralda Fajardo Calle 21, 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-07-10 |
| 1235756339 | Integrate Community Health System | Clinic/Center | Carr # 3, Km 43.8, Bo. Quebrada Fajardo, Fajardo, PR 00738 | 2020-07-06 |
| 1942826110 | Nancy Queren Velazquez I | Registered Nurse | 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-06-23 |
| 1518580943 | My Optical Factory LLC | Optometrist | #61 Calle Garrido Morales W, Fajardo, PR 00738 | 2020-05-20 |
| 1992335830 | Jm Albulance | Ambulance | 157 Calle Celis Aguilera, Fajardo, PR 00738 | 2020-01-20 |
| 1376180885 | Wilma Enid Figueroa | Social Worker | Calle F # 86, Monte Mar, Fajardo, PR 00738 | 2019-12-03 |
| 1144879768 | Danny Josue Mendez Gomez | Chiropractor | Centro Quiropractico De Puerto Rico, Fajardo Market Square, Carr 3 Km 45.4, Fajardo, PR 00738 | 2019-09-06 |
| 1316595804 | Ceiba Medical Services Inc | Family Medicine | 195 Ave Lauro Inero, Ceiba, PR 00738 | 2019-08-28 |
| 1841847142 | Ecb Humacao LLC | Optometrist | Centro Comercial Plaza Fajardo Local 125 Carr 3 Km 43.3, Barrio Quebrada Abajo, Fajardo, PR 00738 | 2019-08-21 |
| 1134785017 | Genesis Medical Supply and Medical Equipment | Durable Medical Equipment & Medical Supplies | G10 Avenida Principal Suite 2, Urb Baralt, Fajardo, PR 00738 | 2019-05-15 |
| Find all providers in zip 00738 | ||||
| Taxonomy Code | 146D00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Personal Emergency Response Attendant |
| Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114247855 | Jessica B. Ibarra | Personal Emergency Response Attendant | La Milagrosa B6 Urb Garcia Ponce, Fajardo, PR 00738 | 2010-06-04 |
| 1043462724 | Lynda Kamari Torrens-bonano | Personal Emergency Response Attendant | 54 Calle Santiago, Barriada Montanez, Fajardo, PR 00738 | 2008-10-14 |
| 1932120698 | Edward B Smith Fermoso | Personal Emergency Response Attendant | Ave. General Valero .km.2.6 Carre #194, Fajardo, PR 00738 | 2006-07-21 |
| 1548265531 | Caribe Physicians Plaza | Personal Emergency Response Attendant | 151 Ave Osvaldo Molina, Fajardo, PR 00738-4013 | 2005-06-16 |
| 1043345515 | Julio L Adorno Perez | Personal Emergency Response Attendant | 151 Ave Osvaldo Molina, Fajardo, PR 00738-4013 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811477474 | Ricardo Javier Hernandez | Personal Emergency Response Attendant | 123 Calle Dorado, Isabela, PR 00662-2263 | 2018-08-14 |
| 1861996720 | Liara Mabel Perez | Personal Emergency Response Attendant | C12 Aa 16 4ta Secc Villa Del Rey, Caguas, PR 00727 | 2018-03-23 |
| 1962857631 | Premium Pediatric Group | Personal Emergency Response Attendant | Calle 129 Ave San Luis, 129, Arecibo, PR 00614-0000 | 2016-04-29 |
| 1457712028 | Luquillo Medical Services, LLC | Personal Emergency Response Attendant | 159 Calle 14 Julio, Luquillo, PR 00773 | 2016-03-10 |
| 1013332865 | Nelson Homero Gil Garcia | Personal Emergency Response Attendant | Calle Primera D 6, Villa Maria, Manati, PR 00674 | 2014-03-03 |
| 1386949378 | Advanced Pediatric Care, Psc | Personal Emergency Response Attendant | Street #2 Km. 11.7, Bayamon, PR 00960 | 2011-01-21 |
| 1245532738 | Deyanira Torres Millan | Personal Emergency Response Attendant | Su88 Circulo Magico, Hormigueros, PR 00660-1219 | 2010-12-03 |
| 1093038465 | Clinica Dr Bague | Personal Emergency Response Attendant | Carr 681 Km 4.4, Islote, Arecibo, PR 00612-0000 | 2010-03-12 |
| 1902036635 | Excellence Emergency Group Csp | Personal Emergency Response Attendant | Urb Costa Azul Calle 14 K 12, Guayama, PR 00784-0000 | 2009-07-15 |
| 1417183104 | Michelle Fuentes | Personal Emergency Response Attendant | Hc 2 Box 20576, Aguadilla, PR 00603-9608 | 2009-06-08 |
| Find all providers with the same taxonomy | ||||
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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.