Active NPI
Roberto J Fernandez MD PA
- Gastroenterology Physician
- Hialeah, FL
National Provider Identifier
1508152968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME43363
- Legal business name
- ROBERTO J FERNANDEZ MD PA
- Practice address
- 135 W 49TH St
Hialeah, FL 33012-3711 - Phone
- (305) 822-1590
- Fax
- (305) 826-3177
- NPI assigned
- Jun 23, 2011
- 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
- Roberto Fernandez, MD
- Title
- President
- Phone
- (305) 822-1590
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME43363 | FL | Primary |
Addresses
Primary practice location
135 W 49TH St
Hialeah, FL 33012-3711
Mailing address
PO Box 127008
Hialeah, FL 33012-1617
Phone (305) 822-1590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
777 E 25th St
Ste 210
Hialeah, FL 33013
Phone (305) 450-1389
4410 W 16th Ave
Ste 33
Hialeah, FL 33012
Phone (305) 827-2002
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Hialeah, FL
- NPI 1275597692
-
- Internal Medicine Physician
- Hialeah, FL
- NPI 1548375264
-
- Licensed Practical Nurse
- Hialeah, FL
- NPI 1083026538
-
- Licensed Practical Nurse
- Hialeah, FL
- NPI 1558773010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308787200000",
"number": "1508152968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 127008",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330121617",
"telephone_number": "305-822-1590",
"fax_number": "305-826-3177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 W 49TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123711",
"telephone_number": "305-822-1590",
"fax_number": "305-826-3177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERTO J FERNANDEZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-23",
"last_updated": "2011-06-23",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "ROBERTO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-822-1590",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME43363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.