Raymond Peter Fernandez, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH6385 Issued in FL

Practice address

1619 6TH St SE
Winter Haven, FL 33880-4605

Phone

(863) 293-3893

Fax

(863) 299-1315

NPI assigned

Mar 6, 2007

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

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Newberry Clinic of Chiropractic PA Inc

  • Chiropractor
  • Winter Haven, FL
  • NPI 1356361828
  Medicare reassignment
• Chiromed Chiropractic Center, Inc

  • Chiropractor
  • Tampa, FL
  • NPI 1073568572
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291939200000",
    "number": "1215067731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 6TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804605",
            "telephone_number": "863-293-3893",
            "fax_number": "863-299-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 6TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804605",
            "telephone_number": "863-293-3893",
            "fax_number": "863-299-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "RAYMOND",
        "middle_name": "PETER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2010-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanise Fenelon, DPT
• Lareesa Monique Ferdinand, M.D.
• Samantha L Ferguson, LMHC
• Antonio N. Fernandez, M.D.
• Dianela Fernandez, RBT
• Raquel Caroline Ferreira Lopes Fontanelli, PHD, BC-HIS
• Angela Elizabeth Ferriolo, ARNP
• Tamara Fields
• Bernadette Figueroa, CMHP
• Mauricio Alejandro Figueroa, M.D.

• Chiropractor in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.