Jorge Enrique Fernandez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME163130 Issued in FL

Practice address

11420 N Kendall Dr Ste 110
Miami, FL 33176-1039

Phone

(786) 353-2536

NPI assigned

Nov 14, 2011

Last updated

Jan 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PR, FL2 enrollments

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 2

Specialty

Family Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunset Strip Medical Center IncGroup PAC ID 5395635684, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunset Strip Medical Center, Inc

  • Internal Medicine Physician
  • Sunrise, FL
  • NPI 1881607562
  Medicare reassignment Care Compare group NPD
• Emerald Hills Medical Center Inc

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1407864481
  Medicare reassignment NPD
• V and R Medical Group Inc

  • Clinic/Center
  • Hialeah, FL
  • NPI 1659318566
  Medicare reassignment NPD
• Centro Medico del Turabo Inc

  dba Red Medica Hima San Pablo

  • Multi-Specialty Clinic/Center
  • Caguas, PR
  • NPI 1710107883

  General Practice

  Medicare reassignment NPD
• Centro Medico del Turabo Inc

  dba Nova Infusion

  • Home Infusion Therapy Pharmacy
  • Bayamon, PR
  • NPI 1811632581
  NPD
• MD Healthcare Network LLC

  • Family Medicine Physician
  • Weston, FL
  • NPI 1962892141
  NPD (past)

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1649557059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16325 NW 78TH AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330168410",
            "telephone_number": "786-218-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 N KENDALL DR STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761039",
            "telephone_number": "786-353-2536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16325 NW 78 th ave",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "33016",
            "country_code": "US",
            "telephone_number": "786-218-0068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JORGE",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-14",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN - 752",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME163130",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "020989",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joaquin R Fernandez
• Jonathan E Fernandez
• Jorge Fernandez Jr., RN
• Jorge Fernandez, CBHCMS,CBHCM
• Jorge Daniel Fernandez, RBT
• Jose Fernandez, MD
• Jose Alberto Fernandez
• Jose Alejandro Fernandez, MD
• Jose E Fernandez, BA
• Jose Emilio Fernandez, CBHCM

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.