Ulises D Fernandez Miro, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME0076116 Issued in FL

Practice address

1874 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5545

Phone

(772) 337-7676

Fax

(772) 337-9034

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

AnesthesiologyAlso: Pain Management

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centurion Anesthesia - FL LLCGroup PAC ID 6103205620, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centurion Anesthesia - FL LLC

  • Anesthesiology Physician
  • Hollywood, FL
  • NPI 1700528346
  Medicare reassignment Care Compare group
• St Lucie Anesthesia Associates LLC

  • Anesthesiology Physician
  • Boca Raton, FL
  • NPI 1700044252
  NPD
• St. Lucie Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Boca Raton, FL
  • NPI 1851252902
  NPD

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1184670333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 SAN MICHELE WAY",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334186704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525545",
            "telephone_number": "772-337-7676",
            "fax_number": "772-337-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ MIRO",
        "first_name": "ULISES",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME0076116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "43618",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254498900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050088996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Fenton, PT
• Shana Fentress, BCBA
• Inovia Ferdinand
• Martina A Ferguson, BA
• Susanne Ferguson, M.A.
• Ernesto Fernandez Morejon, REGISTERED BEHAVIOR
• Briana Fernandez
• Iria G Fernandez
• Luis Enrique Fernandez
• Yaneth Fernandez

• Anesthesiology Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.