Individual provider Active NPI

Walfrido Reinaldo Fernandez

  • Non-emergency Medical Transport (VAN)
  • Bradenton, FL
National Provider Identifier
1699685453
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
L24000449853 Issued in FL
Practice address
4112 55TH Avenue Dr E
Bradenton, FL 34203-5514
Phone
(786) 803-1019
NPI assigned
Sep 11, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X L24000449853 FL Primary

Addresses

Primary practice location

4112 55TH Avenue Dr E
Bradenton, FL 34203-5514

Mailing address

4112 55TH Avenue Dr E
Bradenton, FL 34203-5514
Phone (786) 803-1019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1699685453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 55TH AVENUE DR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342035514",
            "telephone_number": "786-803-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 55TH AVENUE DR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342035514",
            "telephone_number": "786-803-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINALDO FERNANDEZ",
        "first_name": "WALFRIDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "L24000449853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.