| Carlos J Fernandez Cruz Llc | |
|
1801 Ave Ponce De Leon Ste 409-410 San Juan PR 00909-1900 | |
| (939) 338-0793 | |
| Not Available |
| Full Name | Carlos J Fernandez Cruz Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1801 Ave Ponce De Leon Ste 409-410, San Juan, Puerto Rico |
| Authorized Official Name and Position | Carlos J Fernandez-cruz (PRESIDENT) |
| Authorized Official Contact | 9393380793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos J Fernandez Cruz Llc 400 Ave Fd Rooseveit Ste 408 San Juan PR 00918 Ph: (939) 338-0793 | Carlos J Fernandez Cruz Llc 1801 Ave Ponce De Leon Ste 409-410 San Juan PR 00909-1900 Ph: (939) 338-0793 |
| NPI Number | 1770219388 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 07/26/2022 |
| Medicare PECOS PAC ID | 2365819448 |
|---|---|
| Medicare Enrollment ID | O20221102000846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770219388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Carlos J Fernandez-cruz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699192765 PECOS PAC ID: 0840628889 Enrollment ID: I20200325001140 |
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