Provider Demographics
NPI:1245763457
Name:FERNANDEZ-DE THOMAS, RICARDO JOSE (MD)
Entity type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:JOSE
Last Name:FERNANDEZ-DE THOMAS
Suffix:
Gender:M
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:UPMC PRESBYTERIAN, DEPARTMENT OF NEUROLOGICAL SURGERY
Mailing Address - Street 2:200 LOTHROP STREET, STE B 400
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-647-6777
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL MENONITA CAGUAS
Practice Address - Street 2:CARRETERA 172 EDIF ANEXO OFIC C100
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726
Practice Address - Country:US
Practice Address - Phone:787-653-0550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-05
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PR23889207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program