Individual provider Active NPI

Vivian Laura Roges Fernandez, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1699391433
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31257 Issued in FL
Practice address
2500 SW 75TH Ave
Miami, FL 33155-2805
Phone
(305) 264-5252
NPI assigned
Jun 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31257 FL Primary

Addresses

Primary practice location

2500 SW 75TH Ave
Miami, FL 33155-2805

Mailing address

702 NW 87TH Ave Apt 409
Miami, FL 33172-3428
Phone (714) 606-7787

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Vivian.Roges@westchesterhospital.com

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
I20230728000893 FL Practitioner - Family Practice 5294196952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidewell Sanitas I, LLCGroup PAC ID 9537447107, 124 clinicians

Practice addresses (Care Compare)

2000 NW 87TH Ave
Suite 101 102
Doral, FL 33172-2654
Phone (844) 665-4827

9736 SW 24TH St
Miami, FL 33165-7513
Phone (844) 665-4827

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31257FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC Family Medicine Current Accepting new patients
Guidewell Sanitas I, LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

Interoperability endpoints

  • Direct secure messaging: vivian.rogesfernandez@wwmp.eclinicaldirectplus.com
  • Direct secure messaging: vivian.roges@westchesterhospital.com

Organizations & group practices 2

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": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1699391433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 NW 87TH AVE APT 409",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723428",
            "telephone_number": "714-606-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SW 75TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552805",
            "telephone_number": "305-264-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGES FERNANDEZ",
        "first_name": "VIVIAN",
        "middle_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "31257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Vivian.Roges@westchesterhospital.com",
            "affiliation": "N",
            "address_1": "2500 SW 75th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331552805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.