Roberto De J Fernandez, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME0043363 Issued in FL

Practice address

135 W 49 St
Hialeah, FL 33012

Phone

(305) 822-3657

Fax

(305) 826-3177

NPI assigned

Apr 13, 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 1

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

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.

• Roberto J Fernandez MD PA

  • Gastroenterology Physician
  • Hialeah, FL
  • NPI 1508152968
  Medicare reassignment NPD Authorized official
• Galloway Anesthesia Associates LLC

  • Anesthesiology Physician
  • Miami, FL
  • NPI 1689989139
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1275597692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123711",
            "telephone_number": "305-822-3657",
            "fax_number": "305-826-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W 49 ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-822-3657",
            "fax_number": "305-826-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ROBERTO",
        "middle_name": "DE J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0043363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043775100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Fernandez
• Rafael F Fernandez, NBC- HIS
• Ray C Fernandez, LMT
• Raycarlos Fernandez, PTA
• Raydel Fernandez
• Rochelie Marie Fernandez
• Sasha Fernandez
• Sheila Fernandez
• Silvia M Fernandez, PHARMD
• Sofia Fernandez

• Gastroenterology Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.