Provider Demographics
NPI:1528277290
Name:FERNANDEZ-PELEGRINA, RENE ANTONIO (MD)
Entity type:Individual
Prefix:DR
First Name:RENE
Middle Name:ANTONIO
Last Name:FERNANDEZ-PELEGRINA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:369 CALLE DE DIEGO
Mailing Address - Street 2:TORRE SAN FRANCISCO SUITE 606
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00923-3003
Mailing Address - Country:US
Mailing Address - Phone:787-763-2773
Mailing Address - Fax:787-763-2773
Practice Address - Street 1:369 CALLE DE DIEGO
Practice Address - Street 2:TORRE SAN FRANCISCO SUITE 606
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-3003
Practice Address - Country:US
Practice Address - Phone:787-763-2773
Practice Address - Fax:787-763-2773
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR10054207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology