Provider Demographics
NPI:1578557724
Name:FERNANDEZ, ALINA (MD)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:FERNANDEZ
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 1:277 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-3005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:322 EAST CENTER ST
Practice Address - Street 2:
Practice Address - City:WEST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02379-1824
Practice Address - Country:US
Practice Address - Phone:508-771-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA79760207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
043243146OtherHARVARD PILGRIM
NE043243146OtherUNITED HLTHCARE OF NE
M15986OtherBLUE CROSS INDEMNITY
J30854OtherHMO BLUE
J30854OtherBLUE CROSS INDEMNITY
J30854OtherBLUE CARE ELECT
0406063OtherEVERCARE
043243146OtherHCVM
079760OtherTUFTS
MA3185010Medicaid
3654581OtherAETNA HEALTH PLAN
043243146OtherGREAT WEST HEALTHCARE
3492840005OtherCIGNA
690013OtherHARVARD PILGRIM
J30854OtherBLUE CARE 65
043243146Medicare ID - Type UnspecifiedPREFERRED TUFTS
J30854OtherHMO BLUE
079760OtherTUFTS
F93325Medicare UPIN
M15986Medicare ID - Type Unspecified