Provider Demographics
NPI:1417220211
Name:FERNANDEZ MARTI, MARIA DEL PILAR (MD)
Entity Type:Individual
Prefix:
First Name:MARIA DEL PILAR
Middle Name:
Last Name:FERNANDEZ MARTI
Suffix:
Gender:F
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:POBOX 220
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726
Mailing Address - Country:US
Mailing Address - Phone:787-998-3329
Mailing Address - Fax:787-998-3339
Practice Address - Street 1:AVE PONCE DE LEON TORRE AUXILIO MUTUO
Practice Address - Street 2:SUITE 803
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-2646
Practice Address - Country:US
Practice Address - Phone:787-998-3329
Practice Address - Fax:787-998-3339
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-10
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18643207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine