Individual
MR. ELIOT M FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9140 CALLE MARINA, OFICINA 601, PONCE, PR 00717-1592
(787) 844-7105
(787) 840-2434
Mailing address
659 CALLE LADY DI, URB LOS ALMENDROS, PONCE, PR 00716-3527
(787) 840-1632
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4139
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DM033315
ASSMCA
PR
Enumeration date
04/07/2006
Last updated
03/07/2023
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