Active NPI
Rosa R Monte-Fernandez, M.D.
- Preferred Provider Organization
- Weston, FL
National Provider Identifier
1659422400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- ME61105
- Practice address
- 2900 S Commerce Pkwy
Weston, FL 33331-3622 - Phone
- (954) 217-6585
- Fax
- (954) 217-6586
- NPI assigned
- Jan 16, 2007
- Last updated
- Jun 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | ME61105 | FL | Primary |
| Pediatrics Physician | 208000000X | ME61105 | FL |
Addresses
Primary practice location
2900 S Commerce Pkwy
Weston, FL 33331-3622
Mailing address
PO Box 557367
Miami, FL 33255-7367
Phone (786) 624-5845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003172300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME61105 | FL | MD | Preferred Provider Organization |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Weston, FL
- NPI 1932278009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1659422400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 557367",
"city": "MIAMI",
"state": "FL",
"postal_code": "332557367",
"telephone_number": "786-624-5845",
"fax_number": "786-624-2688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 S COMMERCE PKWY",
"city": "WESTON",
"state": "FL",
"postal_code": "333313622",
"telephone_number": "954-217-6585",
"fax_number": "954-217-6586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTE-FERNANDEZ",
"first_name": "ROSA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "FL",
"license": "ME61105",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME61105",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003172300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.