Provider Demographics
NPI:1316000458
Name:FERNANDEZ CAAMANO, HOSTOS (MD)
Entity Type:Individual
Prefix:DR
First Name:HOSTOS
Middle Name:
Last Name:FERNANDEZ CAAMANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-0099
Mailing Address - Country:US
Mailing Address - Phone:787-892-5099
Mailing Address - Fax:787-892-7750
Practice Address - Street 1:100 CALLE HERNAN ALVAREZ
Practice Address - Street 2:PLAZA METROPOLITANA SUITE 209
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-4173
Practice Address - Country:US
Practice Address - Phone:787-892-5099
Practice Address - Fax:787-892-7750
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9554207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR81972Medicare ID - Type Unspecified