Raymond Fernandez, M.D.

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

ME14404 Issued in FL

Practice address

2508 W Virginia Ave
Suite B
Tampa, FL 33607-6326

Phone

(813) 878-2191

Fax

(813) 872-2659

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Florida Pediatric Associates LLC

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1053346718
  NPD (past)
• Florida Pediatric Associates, LLC

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1447553805
  NPD (past)
• Pediatric Neurology Associates

  • Neurology with Special Qualifications in Child Neurology Physician
  • St Petersburg, FL
  • NPI 1275568859
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1508895905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 DR MARTIN LUTHER KING JR ST N",
            "address_2": "SUITE 108",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337011547",
            "telephone_number": "727-456-4250",
            "fax_number": "727-346-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 W VIRGINIA AVE",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076326",
            "telephone_number": "813-878-2191",
            "fax_number": "813-872-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "RAYMOND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME14404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058904700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "29947X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Elena Fernandez, MD
• Mercedes Nilsa Fernandez, NP
• Monika Fernandez
• Olga Lidia Fernandez
• Osvaldo E Fernandez
• Robert C. Fernandez, M.D.
• Vanessa Liliana Fernandez, MA
• Wilber M Fernandez, MD
• Yoana Fernandez, RRT
• Ysabella Fernandez, PT

• Neurology with Special Qualifications in Child Neurology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.