Itza M Dorta Fernandez, is a
Audiologist based in San Sebastian, Puerto Rico. Itza M Dorta Fernandez is licensed to practice in Puerto Rico (license number 0555) and her current practice location is
Barrio Hato Arriba Suite 18, Carr 111 San Sebastian, San Sebastian, Puerto Rico. She can be reached at her office (for appointments etc.) via phone at
(787) 280-0200.
NPI number for Itza M Dorta Fernandez is 1558230862 and her current mailing address is Po Box 193069, San Juan, Puerto Rico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558230862.
Healthcare Provider's Profile
| Full Name | Itza M Dorta Fernandez |
|---|
| Gender | Female |
|---|
| Speciality | Audiologist |
|---|
| Location | Barrio Hato Arriba Suite 18, San Sebastian, Puerto Rico |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558230862
- Provider Enumeration Date: 11/04/2025
- Last Update Date: 11/04/2025
Medical Identifiers
Medical identifiers for Itza M Dorta Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558230862 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 231H00000X | Audiologist | 0555 (Puerto Rico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Itza M Dorta Fernandez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Itza M Dorta Fernandez, Po Box 193069, San Juan, PR 00919-3069 Ph: (787) 761-0036 | Itza M Dorta Fernandez, Barrio Hato Arriba Suite 18, Carr 111 San Sebastian, San Sebastian, PR 00685-9998 Ph: (787) 280-0200 |
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