Organization Active NPI

Noel de Jesus Fernandez MD PA

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1629455233
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME89477 Issued in FL
Legal business name
NOEL DE JESUS FERNANDEZ MD PA
Practice address
1975 W 76TH St
Hialeah, FL 33014-3269
Phone
(786) 703-1535
Fax
(305) 397-2725
NPI assigned
May 4, 2015
Last updated
Sep 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Authorized official

Name
Noel De Jesus FernandezNPI 1972656247
Title
MD
Phone
(954) 443-2691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME89477 FL Primary

Addresses

Primary practice location

1975 W 76TH St
Hialeah, FL 33014-3269

Mailing address

1975 W 76TH St
Hialeah, FL 33014-3269
Phone (786) 703-1535

Other practice location 1

6738 W Sunrise Blvd
Plantation, FL 33313-6070
Phone (954) 530-5835

National Provider Directory

National Provider Directory

Locations

139 N Redland Rd
Ste 27
Florida City, FL 33034
Phone (786) 703-1535

6738 W Sunrise Blvd
Ste 102
Plantation, FL 33313
Phone (954) 530-5835

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1629455233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 W 76TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143269",
            "telephone_number": "786-703-1535",
            "fax_number": "305-397-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 W 76TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143269",
            "telephone_number": "786-703-1535",
            "fax_number": "305-397-2725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6738 W Sunrise Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333136070",
            "country_code": "US",
            "telephone_number": "954-530-5835",
            "fax_number": "954-337-6216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOEL DE JESUS FERNANDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "DE JESUS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "954-443-2691"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME89477",
            "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 Sep 12, 2019; 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.