Individual provider Active NPI

Roberto Angel Fernandez, D.C

  • Chiropractor
  • Miami, FL
National Provider Identifier
1013186337
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6686 Issued in FL
Practice address
9950 SW 107TH Ave Ste 202
Miami, FL 33176-2785
Phone
(305) 270-8800
Fax
(305) 270-9110
NPI assigned
Feb 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6686 FL Primary

Addresses

Primary practice location

9950 SW 107TH Ave Ste 202
Miami, FL 33176-2785

Mailing address

9950 SW 107TH Ave Ste 202
Miami, FL 33176-2785
Phone (305) 270-8800

Other identifiers 1

IdentifierTypeStateIssuer
380400300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Health Medical Center, LLC Current Accepting new patients

Locations

9950 SW 107th Ave
Ste 202
Miami, FL 33176
Phone (305) 270-8800

Networks

  • FL HMO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • AL HMO
  • FL HMO D-SNP
  • FL HMO C-SNP
  • AL HMO D-SNP

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1013186337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 SW 107TH AVE STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762785",
            "telephone_number": "305-270-8800",
            "fax_number": "305-270-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 SW 107TH AVE STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762785",
            "telephone_number": "305-270-8800",
            "fax_number": "305-270-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ROBERTO",
        "middle_name": "ANGEL",
        "name_prefix": "Mr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380400300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.