Luis Enrique Fernandez

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1761 Issued in FL

Practice address

1170 SW Bayshore Blvd Ste 200
Port St Lucie, FL 34983-2408

Phone

(772) 309-0020

Fax

(855) 538-3104

NPI assigned

Apr 14, 2016

Last updated

Oct 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Luis Fernandez Professional name

Medicare fee-for-service enrollment

Enrolled in PR, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General Practice

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EFIECD
• FHIR API: https://fhir4.healow.com/fhir/r4/IFGECD

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

• Soma Medical Center, PA

  dba Rafael O. Nunez

  • Internal Medicine Physician
  • Palm Springs, FL
  • NPI 1467499038

  Single Specialty

  Medicare reassignment NPD
• Instituto Medico del Norte Inc

  dba Centro Medico Wilma N Vazquez

  • General Acute Care Hospital
  • Vega Baja, PR
  • NPI 1154309169

  Single Specialty

  Medicare reassignment NPD
• Soma Medical Center, PA

  dba Soma Medical Center PA Royal Palm

  • Internal Medicine Physician
  • Royal Palm Beach, FL
  • NPI 1538805965

  Single Specialty

  NPD
• Instituto Medico del Norte Inc

  • Radiology Clinic/Center
  • San Juan, PR
  • NPI 1225802606

  Single Specialty

  NPD
• Soma Behavior Health, LLC

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1619512480

  Single Specialty

  NPD (past)
• Soma Medical Center, P.a.

  • Multi-Specialty Clinic/Center
  • West Palm Beach, FL
  • NPI 1407429921
  NPD (past)

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1063866234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 SW BAYSHORE BLVD STE 200",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832408",
            "telephone_number": "772-309-0020",
            "fax_number": "855-538-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 SW BAYSHORE BLVD STE 200",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832408",
            "telephone_number": "772-309-0020",
            "fax_number": "855-538-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "LUIS",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1761",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19469",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUNTA MEDICA DE PR",
            "identifier": "13786-I",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "FERNANDEZ",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Susanne Ferguson, M.A.
• Ulises D Fernandez Miro, MD
• Ernesto Fernandez Morejon, REGISTERED BEHAVIOR
• Briana Fernandez
• Iria G Fernandez
• Yaneth Fernandez
• Donald C Ferraro
• Ivonne Ferraro
• Shawnee Gosney Ferraro, LMT
• Mireya Medina Ferreira, LCSW, MCAP

• General Practice Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.