MEDICARE: JULIO CESAR FERNANDEZ RODRIGUEZ M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	32856-R	PR
2	208000000X	Pediatrics Physician	21436	PR
3	390200000X	Student in an Organized Health Care Education/Training Program	32267-R	PR

General Provider Information

NPI Number	:	1245689413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIO CESAR FERNANDEZ RODRIGUEZ M.D

Provider Business Mailing Address
First Line	:	1 CALLE 12 H-4
Second Line	:	JARDINES DE CAYEY
City	:	CAYEY
State	:	PR
Zip	:	00736-4017
Country	:	US
Telephone Number	:	787-466-8134
Fax Number	:

Provider Business Practice Location Address
First Line	:	CALLE NUNEZ ROMEU
Second Line	:	51
City	:	CAYEY
State	:	PR
Zip	:	00736
Country	:	US
Telephone Number	:	787-738-4525
Fax Number	:	787-738-4525

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2016
Last Update Date	:	06/18/2026

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