Individual provider Active NPI

Jose Alejandro Fernandez, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Miami, FL
National Provider Identifier
1679077499
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME158579 Issued in FL
Practice address
8501 SW 124TH Ave Ste 110
Miami, FL 33183-4631
Phone
(786) 808-8555
Fax
(786) 360-1100
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME158579 FL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME158579 FL Primary

Addresses

Primary practice location

8501 SW 124TH Ave Ste 110
Miami, FL 33183-4631

Mailing address

8501 SW 124TH Ave Ste 110
Miami, FL 33183-4631
Phone (786) 808-8555

Other practice location 1

2020 Ponce De Leon Blvd Ste 103
Coral Gables, FL 33134-4475
Phone (786) 808-8555

Other practice location 2

300 NW 70th Ave Ste 102
Plantation, FL 33317-2360
Phone (786) 808-8555

Other practice location 3

7791 NW 146th St
Miami Lakes, FL 33016-1567
Phone (786) 808-8555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231027002020 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 0547616575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Matmed LLCGroup PAC ID 5193052249, 13 clinicians

Practice addresses (Care Compare)

8501 SW 124TH Ave
Suite 110
Miami, FL 33183-4631
Phone (786) 808-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Matmed LLC CurrentSince Oct 15, 2023 Accepting new patients
Matmed LLC PastSince Oct 15, 2023 Accepting new patients
Matmed LLC PastSince Jun 25, 2023 Accepting new patients

Locations

2020 Ponce de Leon Blvd
Ste 103
Coral Gables, FL 33134
Phone (305) 224-8850

925 NE 30th Ter
Ste 314
Homestead, FL 33033
Phone (786) 243-2950

7791 NW 146 St
Miami, FL 33106

8501 SW 124th Ave
Ste 110
Miami, FL 33183
Phone (786) 808-8555

7791 NW 146th St
Miami Lakes, FL 33016
Phone (786) 808-8555

300 NW 70th Ave
Ste 102
Plantation, FL 33317
Phone (786) 808-8555

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1679077499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVE STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834631",
            "telephone_number": "786-808-8555",
            "fax_number": "786-360-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVE STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834631",
            "telephone_number": "786-808-8555",
            "fax_number": "786-360-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Ponce De Leon Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331344475",
            "country_code": "US",
            "telephone_number": "786-808-8555",
            "fax_number": "305-982-8798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 NW 70th Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333172360",
            "country_code": "US",
            "telephone_number": "786-808-8555",
            "fax_number": "754-200-4971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7791 NW 146th St",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330161567",
            "country_code": "US",
            "telephone_number": "786-808-8555",
            "fax_number": "786-360-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JOSE",
        "middle_name": "ALEJANDRO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME158579",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME158579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.