Individual provider Active NPI

Ernesto Cardenas, M.D.

  • Obstetrics & Gynecology Physician
  • Doral, FL
National Provider Identifier
1073568143
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME109915 Issued in FL
Practice address
3785 NW 82ND Ave
Suite 307
Doral, FL 33166-6655
Phone
(786) 953-7651
Fax
(786) 953-6847
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 01061716A IN
Gynecology Physician 207VG0400X 63838 GA
Obstetrics & Gynecology Physician 207V00000X ME109915 FL Primary

Addresses

Primary practice location

3785 NW 82ND Ave
Suite 307
Doral, FL 33166-6655

Mailing address

3785 NW 82ND Ave
Suite 307
Doral, FL 33166-6655
Phone (786) 953-7651

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01061716AINMDObstetrics Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDHACA/Endpoint/BDHACA

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1073568143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 NW 82ND AVE",
            "address_2": "SUITE 307",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666655",
            "telephone_number": "786-953-7651",
            "fax_number": "786-953-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 NW 82ND AVE",
            "address_2": "SUITE 307",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666655",
            "telephone_number": "786-953-7651",
            "fax_number": "786-953-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "ERNESTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IN",
            "license": "01061716A",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "63838",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME109915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 22, 2014; 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.