Organization Active NPI

Noel de Jesus Fernandez MD PA

  • Internal Medicine Physician
  • Plantation, FL
National Provider Identifier
1649948209
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NOEL DE JESUS FERNANDEZ MD PA
Practice address
6738 W Sunrise Blvd Ste 102
Plantation, FL 33313-6070
Phone
(954) 530-5835
Fax
(954) 337-6216
NPI assigned
Aug 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Iris Martinez
Title
Coo
Phone
(786) 703-1535

Specialties & licenses 1

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

Addresses

Primary practice location

6738 W Sunrise Blvd Ste 102
Plantation, FL 33313-6070

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
017678803MedicaidFL

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1649948209",
    "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": "6738 W SUNRISE BLVD STE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333136070",
            "telephone_number": "954-530-5835",
            "fax_number": "954-337-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOEL DE JESUS FERNANDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "786-703-1535"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017678803",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.