Provider Demographics
NPI:1417952649
Name:ALERS FERNANDEZ, ROBERTO (MD)
Entity Type:Individual
Prefix:
First Name:ROBERTO
Middle Name:
Last Name:ALERS FERNANDEZ
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 1:24 AVE SEVERIANO CUEVAS
Mailing Address - Street 2:SUITE 106, AGUADILLA MEDICAL PLAZA
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-5762
Mailing Address - Country:US
Mailing Address - Phone:787-882-7171
Mailing Address - Fax:787-891-2760
Practice Address - Street 1:24 AVE SEVERIANO CUEVAS
Practice Address - Street 2:SUITE 106, AGUADILLA MEDICAL PLAZA
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-5762
Practice Address - Country:US
Practice Address - Phone:787-882-7171
Practice Address - Fax:787-891-2760
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-15
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9684207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF18886Medicare UPIN