Lisvan Carrero Fernandez Sr.
Lisvan Carrero Fernandez Sr. is an Internal Medicine in College Park, Maryland. Qualified in 2004, 22 years ago. Practices with Patient First Maryland Medical Group PLLC, a 255-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 22
- Licensed in
- MD
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
10205 Baltimore Ave Apt 7206College Park, MD 20740-4244
Phone: (786) 659-7896
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 5900 Cedar Ln, Columbia, MD 21044-3635 — (443) 718-4067
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence D0101642 (MD) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1932842432 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 14, 2022 |
| Last updated in NPPES | December 5, 2024 |
| Certification date | December 5, 2024 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Patient First Maryland Medical Group Pllc — 255 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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