Healthcare Provider Details

I. General information

NPI: 1841931714
Provider Name (Legal Business Name): RODOLFO FERNANDEZ-CRIADO MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3009 OLD CLINIC BUILDING
CHAPEL HILL NC
27599-7516
US

IV. Provider business mailing address

2 VAUXHALL PL
CHAPEL HILL NC
27517-8615
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-9021
  • Fax: 984-974-2131
Mailing address:
  • Phone: 786-252-7405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number2026-03227
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: