Active NPI
Noel de Jesus Fernandez MD PA
- Internal Medicine Physician
- Plantation, FL
National Provider Identifier
1649948209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017678803 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNetworks
- 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.
-
- Internal Medicine Physician
- Hialeah, FL
- NPI 1972656247
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.