Individual provider Active NPI

Guillermo Fernandez Sanchez, PA

  • Physician Assistant
  • Hialeah, FL
National Provider Identifier
1144022633
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PACN105 Issued in FL
Practice address
5375 W 20TH Ave
Hialeah, FL 33012-2101
Phone
(305) 204-0333
Fax
(305) 359-7546
NPI assigned
Mar 25, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2501 PR
Physician Assistant 363A00000X PACN105 FL Primary

Addresses

Primary practice location

5375 W 20TH Ave
Hialeah, FL 33012-2101

Mailing address

4353 NW 77TH Ave FL 3
Miami, FL 33166-6736
Phone (305) 204-0333

Other practice location 1

3839 W 16th Ave
Hialeah, FL 33012-7002
Phone (305) 204-0333

Other practice location 2

860 NW 42nd Ave Ste 101
Miami, FL 33126-4174
Phone (305) 946-1526 ext. 61526

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)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PACN105FLMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1144022633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4353 NW 77TH AVE FL 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331666736",
            "telephone_number": "305-204-0333",
            "fax_number": "305-359-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122101",
            "telephone_number": "305-204-0333",
            "fax_number": "305-359-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3839 W 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330127002",
            "country_code": "US",
            "telephone_number": "305-204-0333",
            "fax_number": "305-359-7546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "860 NW 42nd Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331264174",
            "country_code": "US",
            "telephone_number": "305-946-1526 x61526",
            "fax_number": "877-550-1853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ SANCHEZ",
        "first_name": "GUILLERMO",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-25",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "2501",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PACN105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.