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MARIO R FERNANDEZ GONZALEZ MD
NPI 1386106334
General Practice in Guayama, PR

Active since April 01, 2019PECOS Enrolled
80 CALLE 3 SUR, GUAYAMA, PR 00784(787) 866-1212 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2021, Feb 24, 2021, Apr 1, 2019 (3 updates tracked since 2019).

About Mario R Fernandez Gonzalez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIO R FERNANDEZ GONZALEZ MD (NPI 1386106334) is an individual general practice provider in Guayama, Puerto Rico, licensed in Puerto Rico (21304) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386106334
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMARIO R FERNANDEZ GONZALEZCredential: MD
Location Address80 CALLE 3 SURGuayama, PR 00784
Mailing AddressW8-27 Calle Tirso De MolinaSan Juan, PR 00926-6809 · (305) 775-8792
Phone(787) 866-1212
Sole ProprietorYes
Enumeration DateApril 1, 2019
Last NPPES UpdateJuly 26, 20213 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
✔ NPI 1386106334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 21304
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mario R Fernandez Gonzalez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REYMOND FELICIANO SR.
Social Worker (Clinical)
80 CALLE 3 SUR
GUAYAMA, PR 00784
Guayama Municipio (787) 866-1212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario R Fernandez Gonzalez's NPI number?

The NPI number for Mario R Fernandez Gonzalez is 1386106334. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Mario R Fernandez Gonzalez located?

Mario R Fernandez Gonzalez practices at 80 Calle 3 Sur, Guayama, PR 00784. The listed phone number is (787) 866-1212.

What is Mario R Fernandez Gonzalez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mario R Fernandez Gonzalez enrolled in Medicare?

Yes. Mario R Fernandez Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mario R Fernandez Gonzalez was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.