MEDICARE: MARIA DEL PILAR FERNANDEZ MARTI, MD, LLC

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	207RN0300X	Nephrology Physician	18643	PR

General Provider Information

NPI Number	:	1598209397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIA DEL PILAR FERNANDEZ MARTI, MD, LLC

Provider Business Mailing Address
First Line	:	PO BOX 220
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00726-0220
Country	:	US
Telephone Number	:	787-746-2858
Fax Number	:	787-258-0303

Provider Business Practice Location Address
First Line	:	10 CALLE ACOSTA
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00725-2646
Country	:	US
Telephone Number	:	787-746-2858
Fax Number	:	787-258-0303

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIA DEL PILAR FERNANDEZ
Credential	:	MD
Telephone Number	:	787-746-2858

Provider Enumeration Date	:	12/13/2016
Last Update Date	:	12/13/2016

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