Fernandez Blay MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME93447 Issued in FL

Legal business name

FERNANDEZ BLAY MD PA

Practice address

2488 N University Dr
Pembroke Pines, FL 33024-3624

Phone

(954) 983-9191

Fax

(305) 829-1401

NPI assigned

May 17, 2006

Last updated

Oct 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roberto Carlos Fernandez Blay, MDNPI 1205821352

Title

Pres/Owner

Phone

(305) 322-8096

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roberto C Fernandez Blay, MD

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1205821352
  NPD (past) Authorized official

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1306898242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14143 SW 52ND ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275978",
            "telephone_number": "305-322-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243624",
            "telephone_number": "954-983-9191",
            "fax_number": "305-829-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDEZ BLAY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ BLAY",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "305-322-8096",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274947500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rickie Ferguson, DMD
• Alfonso Feria Avila
• Maryenis Feria, RBT
• Alyssa Fernandes, RDN
• Amanda Fernandez Ayrado
• Radames Ignacio Fernandez Felipe, MD
• Malena Fernandez Lugo
• Maria Carla Fernandez Montejo
• Rocio Esmeralda Fernandez Mora
• Manuel Fernandez-Concepcion, MD

• Internal Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.