Individual provider Active NPI

Carlos D Garcia Fernandez

  • Case Manager/Care Coordinator
  • Doral, FL
National Provider Identifier
1033796974
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1905 NW 82ND Ave
Doral, FL 33126-1011
Phone
(786) 420-5924
NPI assigned
Mar 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1905 NW 82ND Ave
Doral, FL 33126-1011

Mailing address

1905 NW 82ND Ave
Doral, FL 33126-1011
Phone (786) 420-5924

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address florida_healthcare@hcsflorida.com Direct

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1033796974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 NW 82ND AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261011",
            "telephone_number": "786-420-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 NW 82ND AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261011",
            "telephone_number": "786-420-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA FERNANDEZ",
        "first_name": "CARLOS",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "florida_healthcare@hcsflorida.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1905 NW 82nd Ave",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331261011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.