Mrs Wanda Ivelisse Fernandez, is a
Registered Nurse based in Puerto Nuevo, Puerto Rico. Mrs Wanda Ivelisse Fernandez is licensed to practice in Puerto Rico (license number 75212) and her current practice location is
Calle Canades 1324 Ave De Diego, Puerto Nuevo, Puerto Rico. She can be reached at her office (for appointments etc.) via phone at
(787) 763-7575.
NPI number for Mrs Wanda Ivelisse Fernandez is 1316646755 and her current mailing address is Po Box 607087, Bayamon, Puerto Rico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316646755.
Provider's Profile
| Full Name | Mrs Wanda Ivelisse Fernandez |
|---|
| Gender | Female |
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| Speciality | Registered Nurse |
|---|
| Location | Calle Canades 1324 Ave De Diego, Puerto Nuevo, Puerto Rico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316646755
- Provider Enumeration Date: 02/24/2023
- Last Update Date: 02/24/2023
Medical Identifiers
Medical identifiers for Mrs Wanda Ivelisse Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316646755 | NPI | - | NPPES |
| 4436387 | Medicaid | PR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 75212 (Puerto Rico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Wanda Ivelisse Fernandez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Wanda Ivelisse Fernandez,
Po Box 607087,
Bayamon, PR 00960-7087
Ph: (787) 763-7575 | Mrs Wanda Ivelisse Fernandez,
Calle Canades 1324 Ave De Diego,
Puerto Nuevo, PR 00920
Ph: (787) 763-7575 |
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