MEDICARE: MARIA DEL PILAR FERNANDEZ MARTI MD

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	207R00000X	Internal Medicine Physician	18643	PR
2	207RN0300X	Nephrology Physician	18643	PR

General Provider Information

NPI Number	:	1417220211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA DEL PILAR FERNANDEZ MARTI MD

Provider Business Mailing Address
First Line	:	POBOX 220
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00726
Country	:	US
Telephone Number	:	787-998-3329
Fax Number	:	787-998-3339

Provider Business Practice Location Address
First Line	:	AVE PONCE DE LEON TORRE AUXILIO MUTUO
Second Line	:	SUITE 803
City	:	SAN JUAN
State	:	PR
Zip	:	00917-2646
Country	:	US
Telephone Number	:	787-998-3329
Fax Number	:	787-998-3339

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

Provider Enumeration Date	:	02/10/2012
Last Update Date	:	05/26/2020

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Directions to “ MARIA DEL PILAR FERNANDEZ MARTI MD” Practice Location

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