Fernandez, Eliot M

Fernandez, Eliot M is an individual health care provider with primary practice located at 9140 Calle Marina Oficina 601, Ponce PR 00717-1592. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fernandez, Eliot M can be contacted via phone (787) 844-7105.

Contact Information

Primary practice address
9140 Calle Marina Oficina 601 Ponce PR 00717-1592
Phone: (787) 844-7105
Fax: (787) 840-2434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4139 Puerto Rico

Profile Details

NPI number 1003879503
LBN Legal business name Fernandez, Eliot M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003879503 NPPES
Puerto Rico Other DM033315 ASSMCA

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