Individual provider Active NPI

Manuel Francisco Fernandez, MEDICAL DOCTOR

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1265402051
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME0066369 Issued in FL
Practice address
295 Park Blvd
Miami, FL 33126-8010
Phone
(855) 226-6633
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME0066369 FL Primary

Addresses

Primary practice location

295 Park Blvd
Miami, FL 33126-8010

Mailing address

8420 W Flagler St
Suite 220
Miami, FL 33144-2045
Phone (305) 207-1818

Other practice location 1

8420 W Flagler St
Suite 220
Miami, FL 33144-2045
Phone (305) 207-1818

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050311000759 FL Practitioner - General Practice 8123072303

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

295 Park Blvd
Miami, FL 33126-8010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0066369FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M F Fernandez MD Kelly Medical Center Co Inc General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: manuel.fernandez@chealth.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1265402051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 W FLAGLER ST",
            "address_2": "SUITE 220",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442045",
            "telephone_number": "305-207-1818",
            "fax_number": "305-207-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 PARK BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331268010",
            "telephone_number": "855-226-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8420 W Flagler St",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331442045",
            "country_code": "US",
            "telephone_number": "305-207-1818",
            "fax_number": "305-207-1820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MANUEL",
        "middle_name": "FRANCISCO",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0066369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.