Juan Calos Fernandez Sr., ARNP-FMP-BC, MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11004273 Issued in FL

Practice address

16201 SW 95TH Ave
Miami, FL 33157-3459

Phone

(305) 946-1605

Fax

(888) 720-2691

NPI assigned

Oct 23, 2020

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1336748904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 NW 42ND AVE FL 5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264172",
            "telephone_number": "305-504-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 SW 95TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331573459",
            "telephone_number": "305-946-1605",
            "fax_number": "888-720-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JUAN",
        "middle_name": "CALOS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "ARNP-FMP-BC, MSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-23",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Emilio Fernandez, CBHCM
• Jose Omar Fernandez, DPT
• Jose R Fernandez, MD
• Joseph Ignacio Fernandez, MD
• Juan A Fernandez, MD
• Juan H Fernandez, MA
• Juan Miguel Fernandez, M.D.
• Julissa Maria Fernandez
• Junior J Fernandez, D.M.D
• Katherine Fernandez, RBT-24-394362

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.