Organization Active NPI

Lino B Fernandez MD PA

  • Psychiatry Physician
  • Coral Gables, FL
National Provider Identifier
1427174747
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME39453 Issued in FL
Legal business name
LINO B FERNANDEZ MD PA
Practice address
717 Ponce de Leon Blvd
Suite 202
Coral Gables, FL 33134-2060
Phone
(305) 444-3532
Fax
(305) 442-1104
NPI assigned
Mar 21, 2007
Last updated
Mar 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Dr. Lino Bernabe Fernandez Sr., M.D.
Title
Owner
Phone
(305) 444-3532

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X ME39453 FL
Psychiatry Physician 2084P0800X ME39453 FL Primary

Addresses

Primary practice location

717 Ponce de Leon Blvd
Suite 202
Coral Gables, FL 33134-2060

Mailing address

717 Ponce de Leon Blvd
Suite 202
Coral Gables, FL 33134-2060
Phone (305) 444-3532

National Provider Directory

National Provider Directory

Locations

717 Ponce de Leon Blvd
Ste 202
Coral Gables, FL 33134
Phone (305) 445-0477

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1427174747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 PONCE DE LEON BLVD",
            "address_2": "SUITE 202",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342060",
            "telephone_number": "305-444-3532",
            "fax_number": "305-442-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 PONCE DE LEON BLVD",
            "address_2": "SUITE 202",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342060",
            "telephone_number": "305-444-3532",
            "fax_number": "305-442-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINO B FERNANDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "LINO",
        "authorized_official_middle_name": "BERNABE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-444-3532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME39453",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME39453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.