Active NPI
Humberto Fernandez-Miro, MD
- Family Medicine Physician
- South Miami, FL
National Provider Identifier
1356436786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME68741
- Practice address
- 7460 SW 64TH St
South Miami, FL 33143-2802 - Phone
- (305) 691-7515
- Fax
- (305) 666-6211
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME68741 | FL | Primary |
Addresses
Primary practice location
7460 SW 64TH St
South Miami, FL 33143-2802
Mailing address
7460 SW 64TH St
South Miami, FL 33143-2802
Phone (305) 443-0540
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 378210700 | Medicaid | FL | |
| 5190726 | Other | FL | CIGNA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
401 Miracle Mile
Suite 302
Coral Gable, FL 33134-4977
Phone (305) 443-0540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tu Salud Medical Centers III LLC | Current | Accepting new patients | |
| M&M Medical Center Inc. | Family Medicine | Past | Accepting new patients |
| Falls Medical Care, Inc. | Past | Accepting new patients | |
| Murphys Plus Corp | Past | Accepting new patients | |
| Humberto Fernandez-Miro MD PA | Past | Accepting new patients |
Locations
1600 NW 17th Ave
Miami, FL 33125
Phone (305) 635-0335
Interoperability endpoints
- hfernandezmiro7975@direct.med.miami.edu
- wghhmiro@yourcarecommunity.org
- humberto.fernandezmiro@ccms.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- General Practice Physician
- Miami, FL
- NPI 1093472557
-
- General Practice Physician
- South Miami, FL
- NPI 1124226600
-
- General Practice Physician
- Miami, FL
- NPI 1538189071
-
- Family Medicine Physician
- Miami, FL
- NPI 1992876551
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Coral Gables, FL
- NPI 1609980408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555372800000",
"number": "1356436786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7460 SW 64TH ST",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331432802",
"telephone_number": "305-443-0540",
"fax_number": "305-443-0620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7460 SW 64TH ST",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331432802",
"telephone_number": "305-691-7515",
"fax_number": "305-666-6211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ-MIRO",
"first_name": "HUMBERTO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2019-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME68741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378210700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5190726",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.