Doctor Name: | DR. LUIS ENRIQUE FERNANDEZ |
NPI Number: | 1063866234 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 13786-I |
Business Practice Address: | Carr 2 Km 141.1 Avenida Severiano Cuevas Hospital Buen Samaritano Aguadilla, PR - 00603 |
Business Phone Number: | 7876580200 |
Business Fax Number: | |
Mailing Address: | 511 Elizabeth Ave, ELIZABETH |
State: | NJ |
Postal Code: | 072061130 |
Phone Number: | 9087689549 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2016 |
NPI Last Update Date: | 04/30/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 13786-I |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |