Individual provider Active NPI

Fernando E Melgar Somoza, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1447882907
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME142191 Issued in FL
Practice address
14261 SW 120TH St Ste 112
Miami, FL 33186-7273
Phone
(786) 763-5477
NPI assigned
Feb 12, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME142191 FL Primary

Addresses

Primary practice location

14261 SW 120TH St Ste 112
Miami, FL 33186-7273

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 378-1302

Other identifiers 1

IdentifierTypeStateIssuer
ME142191OtherFLN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Miami

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200310001560 FL Practitioner - Family Practice 4183052921 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Pensacola LLC CurrentSince Sep 1, 2022 Accepting new patients
First Docs PC CurrentSince Jul 1, 2024 Accepting new patients
Dwellness Lab Corp Family Medicine CurrentSince Nov 3, 2025 Accepting new patients
Cogent Healthcare of Pensacola LLC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
JMH Internal Medicine Specialist LLC CurrentSince Jul 1, 2022 Accepting new patients
Mel-Caro LLC Family Medicine Current Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jul 1, 2022 Accepting new patients
Rodriguez Torrecilla LLC CurrentSince Mar 10, 2024 Accepting new patients
QMC LLC PastSince Feb 1, 2021 Accepting new patients

Locations

4105 E 4th Ave
Ste 2D
Hialeah, FL 33013
Phone (305) 419-2679

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

9380 SW 150th St
Ste 210
Miami, FL 33176
Phone (305) 256-5018

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

2423 SW 147th Ave
Miami, FL 33185
Phone (305) 317-2426

1611 NW 12th Ave
Apt C150
Miami, FL 33136
Phone (305) 585-3627

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

9333 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 251-2500

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1447882907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-378-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14261 SW 120TH ST STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867273",
            "telephone_number": "786-763-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELGAR SOMOZA",
        "first_name": "FERNANDO",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME142191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "ME142191",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "14261 SW 120th St Ste 112",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331867273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.