Individual provider Active NPI

Edward Gonzalez Fernandez, MD

  • Family Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1295451565
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ACN1501 Issued in FL
Practice address
135 Cadima Ave
Coral Gables, FL 33134-7354
Phone
(786) 557-8627
NPI assigned
Oct 18, 2022
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23027 PR
Family Medicine Physician 207Q00000X ACN1501 FL Primary

Addresses

Primary practice location

135 Cadima Ave
Coral Gables, FL 33134-7354

Mailing address

135 Cadima Ave
Coral Gables, FL 33134-7354
Phone (786) 557-8627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1501FLMDFamily Medicine Physician
23027PRMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1295451565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CADIMA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331347354",
            "telephone_number": "786-557-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CADIMA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331347354",
            "telephone_number": "786-557-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ FERNANDEZ",
        "first_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-18",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "23027",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN1501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.