IndividualActive
Itza Dorta Fernandez
NPI 1558230862 · Audiologist · San Sebastian, PR
Provider details
- NPI number
- 1558230862
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0555 (PR)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Barrio Hato Arriba Suite 18
Carr 111 San Sebastian
San Sebastian, PR 00685-9998
Phone: (787) 280-0200
Mailing address
Po Box 193069
San Juan, PR 00919-3069
Additional practice locations (3)
- A Aguadilla MallAguadilla, PR 00603-5762Phone: (787) 891-9087
- 1 Galeria Del NorteLocal E, Carr Num 2 Km 81.7Hatillo, PR 00659-9199Phone: (787) 262-4233
- Carr 2 Plaza Monte RealShopping Center Local 16Manati, PR 00674-4894Phone: (787) 884-4629
Registry dates
- Enumerated
- 2025-11-04
- Last updated
- 2025-11-04
- Certified
- 2025-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.