Provider Demographics
NPI:1184055220
Name:FERNANDEZ HAWA, PATRICIA (MD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:FERNANDEZ HAWA
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:ZARZUELA ST SF29
Mailing Address - Street 2:TOA BAJA
Mailing Address - City:PUERTO RICO
Mailing Address - State:PR
Mailing Address - Zip Code:00949-3635
Mailing Address - Country:US
Mailing Address - Phone:787-242-5461
Mailing Address - Fax:
Practice Address - Street 1:SAN JUAN VA MEDICAL CENTER
Practice Address - Street 2:10 CALLE CASIA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3201
Practice Address - Country:US
Practice Address - Phone:787-641-7582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-27
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19405174400000X, 2084S0012X
PR29414-R174400000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No174400000XOther Service ProvidersSpecialist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program