MARIO R FERNANDEZ GONZALEZ MD – NPI #1386106334
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MARIO R FERNANDEZ GONZALEZ is a physician located in GUAYAMA, PR. NPPES has assigned the NPI number 1386106334 to MARIO R FERNANDEZ GONZALEZ on April 01, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 5 years ago on Jul 26, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARIO R FERNANDEZ GONZALEZ below.

NPI Profile for
MARIO R FERNANDEZ GONZALEZ

NPI Number
1386106334
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARIO R FERNANDEZ GONZALEZ
Credentials
MD
Primary location
80 CALLE 3 SUR
GUAYAMA, PR 00784
Phone: (787) 866-1212 Fax:
Mailing address
W8-27 CALLE TIRSO DE MOLINA
SAN JUAN, PR 00926-6809
Phone: (305) 775-8792 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jul 26, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
PR 21304

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.