MEDICARE: ALINA FERNANDEZ 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	79760	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	043243146	OTHER		HARVARD PILGRIM
2	043243146	OTHER	NE	UNITED HLTHCARE OF NE
3	M15986	OTHER		BLUE CROSS INDEMNITY
4	J30854	OTHER		HMO BLUE
5	J30854	OTHER		BLUE CROSS INDEMNITY
6	J30854	OTHER		BLUE CARE ELECT
7	0406063	OTHER		EVERCARE
8	043243146	OTHER		HCVM
9	079760	OTHER		TUFTS
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	3654581	OTHER		AETNA HEALTH PLAN
12	043243146	OTHER		GREAT WEST HEALTHCARE
13	3492840005	OTHER		CIGNA
14	690013	OTHER		HARVARD PILGRIM
15	J30854	OTHER		BLUE CARE 65

General Provider Information

NPI Number	:	1578557724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALINA FERNANDEZ MD

Provider Business Mailing Address
First Line	:	277 PLEASANT ST
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02721-3005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	322 EAST CENTER ST
Second Line	:
City	:	WEST BRIDGEWATER
State	:	MA
Zip	:	02379-1824
Country	:	US
Telephone Number	:	508-771-1800
Fax Number	:

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

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	10/22/2018

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