Carlos Enrique Fernandez, D.M.D., P.A.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0012692 Issued in FL

Practice address

8539 NW 186TH St
Hialeah, FL 33015-2555

Phone

(305) 829-2160

Fax

(305) 829-3989

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629197637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8539 NW 186TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152555",
            "telephone_number": "305-829-2160",
            "fax_number": "305-829-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8539 NW 186TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152555",
            "telephone_number": "305-829-2160",
            "fax_number": "305-829-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "CARLOS",
        "middle_name": "ENRIQUE",
        "credential": "D.M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anabel Fernandez
• Anay Fernandez
• Angel Fernandez, MD
• Araima Fernandez
• Benidecto Fernandez, MD
• Claudia Fernandez
• Danay Fernandez
• Daniella Fernandez
• Deymaris Fuentes Fernandez, RBT
• Diana Fernandez

• General Practice Dentistry in Hialeah, FL
• Providers in Hialeah, FL by specialty
• General Practice Dentistry in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.