Organization Active NPI

Heriberto Fernandez MD PA

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1669727848
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HERIBERTO FERNANDEZ MD PA
Practice address
777 E 25TH St Ste 509
Hialeah, FL 33013-3834
Phone
(305) 420-5016
Fax
(786) 452-9901
NPI assigned
Jul 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Heriberto Fernandez, MDNPI 1598087520
Title
President
Phone
(305) 420-5016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

777 E 25TH St Ste 509
Hialeah, FL 33013-3834

Mailing address

777 E 25TH St Ste 509
Hialeah, FL 33013-3834
Phone (305) 420-5016

Other practice location 1

5801 NW 151st St Ste 105
Miami Lakes, FL 33014-2437
Phone (305) 422-9590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130823000620 FL Part B Supplier - Clinic/Group Practice 6406099449 Receives reassigned benefits from 3 practitioners
Practice locations: Hialeah, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2200694Heriberto Fernandez MD PA777 E 25TH Street Unit 509, Hialeah, FL 33013Certificate of waiverNov 16, 2026
10D2319516Heriberto Fernandez, MD PA5801 NW 151St St Suite 105, Miami Lakes, FL 33014Certificate of waiverMar 2, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1669727848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 509",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133834",
            "telephone_number": "305-420-5016",
            "fax_number": "786-452-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 509",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133834",
            "telephone_number": "305-420-5016",
            "fax_number": "786-452-9901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 NW 151st St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142437",
            "country_code": "US",
            "telephone_number": "305-422-9590",
            "fax_number": "786-633-5933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HERIBERTO FERNANDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "HERIBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-420-5016",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.