Provider Demographics
NPI:1518565134
Name:FERNANDEZ MOLINARY, PAOLA B (MD)
Entity type:Individual
Prefix:
First Name:PAOLA
Middle Name:B
Last Name:FERNANDEZ MOLINARY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23057 UPR STATION
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00931
Mailing Address - Country:US
Mailing Address - Phone:787-585-9597
Mailing Address - Fax:
Practice Address - Street 1:ALBORADA, EL CONDOMINIO
Practice Address - Street 2:1225, APARTMENT 2232
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-585-9597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2024-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR023558207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine