# DR. ROBERTO A. FERNANDEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1720101900
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 16642 | PR | — |
| 208D00000X | General Practice Physician | ACN 259 | FL | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 09/29/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 16642 | MEDICAL DOCTOR | PR |
| 01 | — | ACN 259 | MEDICAL LICENSE | FL |