Active NPI
Daniel Rodolfo Fernandez, D.C.
- Chiropractor
- Homestead, FL
National Provider Identifier
1477570042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH-8207
- Practice address
- 46 N Homestead Blvd
Homestead, FL 33030-7416 - Phone
- (305) 246-1664
- Fax
- (305) 248-9016
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH-8207 | FL | Primary |
Addresses
Primary practice location
46 N Homestead Blvd
Homestead, FL 33030-7416
Mailing address
46 N Homestead Blvd
Homestead, FL 33030-7416
Phone (305) 246-1664
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381449100 | Medicaid | FL | |
| 70252 | Other | FL | BLUE CROSS BLUE SHEILD |
| 3974097 | Other | FL | CIGNA |
| 90-0063585 | Other | FL | FIRST HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH-8207 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leon Medical Centers LLC | Current | Accepting new patients | |
| Pain Relief Center of Homestead | Chiropractor | Past | Accepting new patients |
Locations
8600 NW 41st St
Doral, FL 33166
Phone (305) 642-1511
11501 SW 40th St
Miami, FL 33165
Phone (305) 646-3716
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- Miami, FL
- NPI 1376579839
-
- Chiropractor
- Homestead, FL
- NPI 1023466141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477570042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 N HOMESTEAD BLVD",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330307416",
"telephone_number": "305-246-1664",
"fax_number": "305-248-9016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 N HOMESTEAD BLVD",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330307416",
"telephone_number": "305-246-1664",
"fax_number": "305-248-9016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "DANIEL",
"middle_name": "RODOLFO",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH-8207",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381449100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "70252",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3974097",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "90-0063585",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.