Rafael Ramon Fernandez, MD, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11012992 Issued in FL

Practice address

4834 NW 110TH PL
Doral, FL 33178-4310

Phone

(786) 326-4240

NPI assigned

May 9, 2021

Last updated

Dec 9, 2021By 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 5

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Carmen Espinosa - Perez MD, Inc.Group PAC ID 3173061041, 3 clinicians

L.S.L Medical Center, IncGroup PAC ID 6305079815, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Keralty Hospital Hospital, Miami, FL, CCN 100284

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Carmen Espinosa - Perez MD, Inc.

  • Psychiatry Physician
  • Miami, FL
  • NPI 1861246829

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• L.S.L Medical Center, Inc

  • Internal Medicine Physician
  • Coral Gables, FL
  • NPI 1861738197

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Related Medical Group Inc

  • Psychiatry Physician
  • Homestead, FL
  • NPI 1619634136

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Excellence Medical Group Corp

  • Psychiatry Physician
  • Miami, FL
  • NPI 1497049423

  Multi-Specialty

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Westchester General Hospital, Inc.

  dba Coral West Community Hospital

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1548284177
  Care Compare affiliation

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

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1073197794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4834 NW 110TH PL",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784310",
            "telephone_number": "786-326-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4834 NW 110TH PL",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784310",
            "telephone_number": "786-326-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "RAFAEL",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "MD, APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012992",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11012992",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "NJDCATEMP041658",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HSE24274",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "CV2102936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisel Fernandez
• Marlena Caridad Fernandez, M.D.
• Martha Fernandez
• Maydelis Fernandez
• Nicole Marie Fernandez, RBT
• Rosa C Fernandez
• Sabrina Fernandez
• Sandra Fernandez
• Soe Fernandez
• Thalia Stephany Fernandez

• Psychiatric/Mental Health Nurse Practitioner in Doral, FL
• Providers in Doral, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.