Active NPI
Ernesto Cardenas, M.D.
- Obstetrics & Gynecology Physician
- Doral, FL
National Provider Identifier
1073568143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME109915
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01061716A | IN | MD | Obstetrics Physician |
Interoperability endpoints
- 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.