Organization Active NPI

Jose Fernandez, M.D.P.a.

  • Pediatrics Physician
  • Cutler Bay, FL
National Provider Identifier
1073929345
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME65542 Issued in FL
Legal business name
JOSE FERNANDEZ, M.D.P.A.
Practice address
10700 Caribbean Blvd
Suite # 108
Cutler Bay, FL 33189-1232
Phone
(305) 251-8016
Fax
(305) 251-8017
NPI assigned
Jul 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Dr. Jose Fernandez, M.D.NPI 1851311120
Title
President
Phone
(305) 251-8016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME65542 FL Primary

Addresses

Primary practice location

10700 Caribbean Blvd
Suite # 108
Cutler Bay, FL 33189-1232

Mailing address

10700 Caribbean Blvd
Suite # 108
Cutler Bay, FL 33189-1232
Phone (305) 251-8016

Other identifiers 1

IdentifierTypeStateIssuer
375244500MedicaidFL

National Provider Directory

National Provider Directory

Locations

10700 Caribbean Blvd
Ste 108
Cutler Bay, FL 33189
Phone (305) 251-7477

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1073929345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 CARIBBEAN BLVD",
            "address_2": "SUITE # 108",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891232",
            "telephone_number": "305-251-8016",
            "fax_number": "305-251-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CARIBBEAN BLVD",
            "address_2": "SUITE # 108",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891232",
            "telephone_number": "305-251-8016",
            "fax_number": "305-251-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE FERNANDEZ, M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-251-8016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME65542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375244500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.