Individual
DR. SAMUEL A. FERNANDEZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARIMED PLZ, B-1 CALLE SANTA CRUZ SUITE 403-404, BAYAMON, PR 00961-6928
(787) 798-7070
(787) 787-2107
Mailing address
200 CALLE ZORZAL, URB. MONTEHIEDRA, SAN JUAN, PR 00926-7111
(787) 798-7070
(787) 787-2107
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
8499
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7310137
HUMANA
PR
01
—
83628
TRIPLE S
PR
Enumeration date
02/21/2006
Last updated
02/21/2014
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