Organization Active NPI

Fernando Fandino Sende MD PA

  • Specialist
  • Miami Beach, FL
National Provider Identifier
1164581195
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME51899 Issued in FL
Legal business name
FERNANDO FANDINO SENDE MD PA
Practice address
4302 Alton Rd
Suite 1000
Miami Beach, FL 33140-2891
Phone
(305) 672-4497
Fax
(305) 531-6673
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Dr. Fernando Fandino-Sende, M.D.
Title
President
Phone
(305) 672-4497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME51899 FL Primary

Addresses

Primary practice location

4302 Alton Rd
Suite 1000
Miami Beach, FL 33140-2891

Mailing address

4302 Alton Rd
Suite 1000
Miami Beach, FL 33140-2891
Phone (305) 672-4497

Other identifiers 2

IdentifierTypeStateIssuer
10901OtherFLBCBS OF FL
375403100MedicaidFL

National Provider Directory

National Provider Directory

Locations

4302 Alton Rd
Ste 1000
Miami Beach, FL 33140
Phone (305) 672-4497

9415 NE 6th Ave
Miami Shores, FL 33138
Phone (305) 756-7899

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1164581195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "SUITE 1000",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "305-672-4497",
            "fax_number": "305-531-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "SUITE 1000",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "305-672-4497",
            "fax_number": "305-531-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO FANDINO SENDE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "FANDINO-SENDE",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-672-4497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME51899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "10901",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375403100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.