Luis Fernandez, MD

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

ME56435 Issued in FL

Legal business name

LUIS FERNANDEZ, MD

Practice address

2625 Tamiami TRL
Suite 5
Port Charlotte, FL 33952-6403

Phone

(941) 661-3434

Fax

(941) 764-7039

NPI assigned

May 26, 2015

Organization subpart

No

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

Authorized official

Name

Luis Felipe Fernandez, MDNPI 1932190394

Title

Proprietor

Phone

(941) 764-7999

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FHHBBD

Practitioners 1

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

• Luis F Fernandez, MD

  • Internal Medicine Physician
  • Port Charlotte, FL
  • NPI 1932190394
  NPD (past) Authorized official

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1174902944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 TAMIAMI TRL",
            "address_2": "SUITE 5",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526403",
            "telephone_number": "941-661-3434",
            "fax_number": "941-764-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 TAMIAMI TRL",
            "address_2": "SUITE 5",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526403",
            "telephone_number": "941-661-3434",
            "fax_number": "941-764-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS FERNANDEZ, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "FELIPE",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "941-764-7999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME56435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LP Port Charlotte LLC
• Kenneth Lloyd Luberger Jr.
• Stacey Luczejko, ED.S, MA, LPC, NCC
• Katherine Ann Ludeman, ARNP
• Luis F Fernandez MD PA
• Luis G Marmol MD PA
• Randyel Luis, RPH
• Matthew Luttrell
• Lonnie Luu, MD
• Luxottica of America Inc.

• Non-Pharmacy Dispensing Site in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.