Maximo Jose Fernandez, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME 107066 Issued in FL

Practice address

4765 Volunteer Rd Ste 404
Davie, FL 33330-2128

Phone

(954) 374-7545

Fax

(954) 374-7543

NPI assigned

Dec 3, 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

Other identifiers 2

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

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Personalized Medicine Institute LLCGroup PAC ID 9436487725, 3 clinicians

Kopa LLCGroup PAC ID 5193774461, 40 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Personalized Medicine Institute, LLC.

  • Cardiovascular Disease Physician
  • Davie, FL
  • NPI 1376011551
  Medicare reassignment Care Compare group NPD Authorized official
• Kopa LLC

  • Multi-Specialty Clinic/Center
  • Orlando, FL
  • NPI 1417021114
  Medicare reassignment Care Compare group NPD
• Ekg Associates Inc

  • Cardiovascular Disease Physician
  • Pembroke Pines, FL
  • NPI 1730190190
  Medicare reassignment NPD
• Miramar Ekg Readers

  • Cardiovascular Disease Physician
  • Miramar, FL
  • NPI 1942254057
  Medicare reassignment NPD
• Priority Health MD Inc

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1891447694
  NPD

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1215119185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 VOLUNTEER RD STE 404",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302128",
            "telephone_number": "954-374-7545",
            "fax_number": "954-374-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 VOLUNTEER RD STE 404",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302128",
            "telephone_number": "954-374-7545",
            "fax_number": "954-374-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MAXIMO",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 107066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003521900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FM440Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andy Fernandez
• Carlos Fernandez
• Heidy Fernandez, PHARM D
• Laura Victoria Fernandez
• Lisa Renee Fernandez, C.R.T.
• Nestor Fernandez
• Orlando Fernandez
• Saray Fernandez
• Sophia Jacqueline Fernandez, RBT
• Rosa M Ferra, MD

• Cardiovascular Disease Physician in Davie, FL
• Providers in Davie, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.