Debra P Fertel, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

ME39424 Issued in FL

Practice address

1611 NW 12TH Ave
Miami, FL 33136-1005

Phone

(305) 585-6487

NPI assigned

Jun 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Public Health Trust of Miami Dade County Florida

  dba JMG Specialty Physicians

  • Family Medicine Physician
  • Plantation, FL
  • NPI 1245121425
  NPD (past)
• University of Miami

  dba UMiami Medicine - Immuno Monitoring Lab

  • Clinical Medical Laboratory
  • Miami, FL
  • NPI 1932150752
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1336178789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW 12TH AVE STE 810",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361037",
            "telephone_number": "305-585-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERTEL",
        "first_name": "DEBRA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME39424",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME39424",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0458881-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nisermy L Ferro, BS
• Pansy Ferron, PA
• Fany Ferrufino
• Paulina Ferry, PTA
• Richard M Ferstenberg, M.D.
• Ricard Fertil, PHARMD
• Wilvens Fertil
• Fertility & Ivf Center of Miami
• Fertility & Prenatal Acupuncture Center
• Fese Medical Management Corp

• Pulmonary Disease Physician in Miami, FL
• Providers in Miami, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.