Individual provider Active NPI

Miguel Osvaldo Fernandez Barreras, M.D.

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1164453767
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1220 Issued in FL
Practice address
1401 E 4TH Ave Ste 104
Hialeah, FL 33010-3504
Phone
(305) 888-9000
NPI assigned
Jul 5, 2006
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ACN1220 FL
Emergency Medicine Physician 207P00000X 8065 PR
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ACN1220 FL Primary

Addresses

Primary practice location

1401 E 4TH Ave Ste 104
Hialeah, FL 33010-3504

Mailing address

1401 E 4TH Ave Ste 104
Hialeah, FL 33010-3504
Phone (305) 746-0334

Other practice location 1

16241 Biscayne Blvd
Aventura, FL 33160-4300
Phone (305) 749-1651

Other practice location 2

1251 NW 36th St
Miami, FL 33142-5532
Phone (305) 929-6150

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200212000722 FL Practitioner - Family Practice 0143323204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Holdings Company LLCGroup PAC ID 8224323050, 61 clinicians

Practice addresses (Care Compare)

1401 E 4TH Ave
104 Palm Medical Center Hialeah LLC
Hialeah, FL 33010-3504
Phone (305) 888-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8065PRMDPharmacist
ACN1220FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Holdings Company LLC Multi-Specialty Current Accepting new patients
Palm Plaza Medical Center, LLC Multi-Specialty CurrentSince Jun 1, 2023 Accepting new patients
Palm Medical Centers Multi-Specialty CurrentSince Jun 1, 2023 Accepting new patients
Medical Home Alliance LLC Past Accepting new patients
Dexter Emergency Physicians, LLC Multi-Specialty Past Accepting new patients
Yakima Emergency Group a Professional Limited Liability Com Multi-Specialty Past Accepting new patients
Epmg of Michigan, P.C. Multi-Specialty PastSince Aug 4, 2024 Accepting new patients
Depot Emergency Physicians Multi-Specialty Past Accepting new patients
Michigan Em-I Medical Services, P.C. Multi-Specialty Past Accepting new patients
Sturgis Emergency Physicians PLLC Multi-Specialty Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Kayenta Alternative Rural Hospital Multi-Specialty Past Accepting new patients

Locations

16241 Biscayne Blvd
Aventura, FL 33160
Phone (305) 947-5494

2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590

1401 E 4th Ave
Ste 104
Hialeah, FL 33010
Phone (305) 885-9999

6849 Taft St
Hollywood, FL 33024
Phone (954) 266-2920

135 E 1st St
Lakeland, FL 33805
Phone (863) 686-2728

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1164453767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E 4TH AVE STE 104",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103504",
            "telephone_number": "305-746-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 4TH AVE STE 104",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103504",
            "telephone_number": "305-888-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16241 Biscayne Blvd",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331604300",
            "country_code": "US",
            "telephone_number": "305-749-1651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1251 NW 36th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331425532",
            "country_code": "US",
            "telephone_number": "305-929-6150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ BARRERAS",
        "first_name": "MIGUEL",
        "middle_name": "OSVALDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ACN1220",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "8065",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.