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General NPI Number Information
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NPI Number | 1356230940
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Entity Type | Individual
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Provider Name | DR. MARCOS FERNANDEZ
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Gender | Male
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | BO MONACILLO CENTRO MEDICO
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City | SAN JUAN
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State | PR
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Zip | 00936
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Country | US
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Telephone | 787-480-2700
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE 1 C 28 PARQUE SAN MIGUEL
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City | BAYAMON
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State | PR
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Zip | 00959
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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