Active NPI
Lino B Fernandez MD PA
- Psychiatry Physician
- Coral Gables, FL
National Provider Identifier
1427174747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME39453
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.