Fernandez, Mario R

Fernandez, Mario R is an sole proprietor health care provider with primary practice located at Hima San Pablo Del Este Ave Conquistador , Fajardo PR 00738. He recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as his primary health care specialty. Fernandez, Mario R can be contacted via phone (787) 863-0505.

Contact Information

Primary practice address
Hima San Pablo Del Este Ave Conquistador Fajardo PR 00738
Phone: (787) 863-0505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 16057 Puerto Rico

Profile Details

NPI number 1740204841
LBN Legal business name Fernandez, Mario R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

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 1740204841 NPPES
Puerto Rico Other 7000007964 MEDIA CLAIM BILLING NUMBE

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