Provider Demographics
NPI:1861432486
Name:FERNANDEZ AMARAT, MAYRA E (MD)
Entity type:Individual
Prefix:DR
First Name:MAYRA
Middle Name:E
Last Name:FERNANDEZ AMARAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6701 COND CAMINOS VERDES II
Mailing Address - Street 2:APT 1801 CARR 844
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:939-640-7983
Mailing Address - Fax:
Practice Address - Street 1:CARR 188 # INT187
Practice Address - Street 2:
Practice Address - City:LOIZA
Practice Address - State:PR
Practice Address - Zip Code:00772-1850
Practice Address - Country:US
Practice Address - Phone:939-640-7983
Practice Address - Fax:787-876-1120
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2018-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR16426208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice