Organization Active NPI

Fernandez Family Medicine Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1205271046
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME97323 Issued in FL
Legal business name
FERNANDEZ FAMILY MEDICINE INC
Practice address
901 SW 87TH Ave
Suite # a
Miami, FL 33174-3206
Phone
(305) 512-0080
Fax
(305) 512-0082
NPI assigned
May 7, 2013
Last updated
May 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Inti Fernandez, MD
Title
President
Phone
(305) 903-7587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME97323 FL Primary

Addresses

Primary practice location

901 SW 87TH Ave
Suite # a
Miami, FL 33174-3206

Mailing address

901 SW 87TH Ave
Suite # a
Miami, FL 33174-3206
Phone (305) 512-0080

Other identifiers 1

IdentifierTypeStateIssuer
007660200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1205271046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SW 87TH AVE",
            "address_2": "SUITE # A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743206",
            "telephone_number": "305-512-0080",
            "fax_number": "305-512-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SW 87TH AVE",
            "address_2": "SUITE # A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743206",
            "telephone_number": "305-512-0080",
            "fax_number": "305-512-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDEZ FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "INTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-903-7587",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME97323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007660200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.