Provider Demographics
NPI:1598209397
Name:MARIA DEL PILAR FERNANDEZ MARTI, MD, LLC
Entity Type:Organization
Organization Name:MARIA DEL PILAR FERNANDEZ MARTI, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA DEL PILAR
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-746-2858
Mailing Address - Street 1:PO BOX 220
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-0220
Mailing Address - Country:US
Mailing Address - Phone:787-746-2858
Mailing Address - Fax:787-258-0303
Practice Address - Street 1:10 CALLE ACOSTA
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-2646
Practice Address - Country:US
Practice Address - Phone:787-746-2858
Practice Address - Fax:787-258-0303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18643207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty