Sergio Fernandez Acosta

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F02200104 Issued in FL

Practice address

6940 NW 186TH St Apt 131
Hialeah, FL 33015-3277

Phone

(786) 574-1182

NPI assigned

Mar 16, 2020

Last updated

Mar 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24672/brand/1/csg/1/fhir/r4

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.

• East Florida Premium Medical Care

  • General Practice Physician
  • Tamarac, FL
  • NPI 1326312125
  Medicare reassignment NPD

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1174159719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 NW 186TH ST APT 131",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153277",
            "telephone_number": "786-574-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 NW 186TH ST APT 131",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153277",
            "telephone_number": "786-574-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ ACOSTA",
        "first_name": "SERGIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F02200104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Fente, APRN
• Marcio Cesar Ferez Sr., MD
• Yelemnys Fernadez
• Ericka Fernandes D Angelo
• Marlen Fernandez Acosta
• Eduardo Fernandez Aguilar, SA-C
• Annemarie Fernandez Araujo, MS
• Laura L Fernandez Ariosa
• Yilian Fernandez Artiles
• Claudia Fernandez Azahares

• Family Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.