Individual provider Active NPI

Enrique C Fernandez, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1528040086
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME87802 Issued in FL
Practice address
11760 Bird Rd
Suite 502
Miami, FL 33175
Phone
(305) 559-9732
Fax
(305) 559-9277
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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 ME87802 FL Primary

Addresses

Primary practice location

11760 Bird Rd
Suite 502
Miami, FL 33175

Mailing address

PO Box 55 8642
Miami, FL 33255-0218
Phone (305) 559-9732

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
I20040326000287 FL Practitioner - Family Practice 3971495169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11750 Bird Rd
Miami, FL 33175-3530
Phone (305) 223-3000

Hospital & facility affiliations

  • Harmony Homes of Miami Inc Home health agency, Miami, FL, CCN 109169
  • Wonderful Care Home Health Inc Home health agency, Miami, FL, CCN 109235
  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209
  • West Kendall Baptist Hospital Hospital, Miami, FL, CCN 100314

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME87802FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enrique C Fernandez MD PA Family Medicine CurrentSince Dec 1, 2003 Accepting new patients
Cardiovascular Specialty Center Inc Past Accepting new patients

Locations

11760 SW 40th St
Ste 741
Miami, FL 33175
Phone (305) 229-9919

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

11760 SW 40th St
Ste 502
Miami, FL 33175
Phone (305) 226-8484

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDFJAA/Endpoint/BDFJAA

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1528040086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55 8642",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332550218",
            "telephone_number": "305-559-9732",
            "fax_number": "305-559-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 BIRD RD",
            "address_2": "SUITE 502",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33175",
            "telephone_number": "305-559-9732",
            "fax_number": "305-559-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ENRIQUE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME87802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.