Elio A Fernandez, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME41476 Issued in FL

Practice address

26607 N 59TH LN
Phoenix, AZ 85083-6523

Phone

(623) 414-3484

NPI assigned

Sep 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elio Fernandez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lakewood Park Walk-in Clinic, LLC

  • Internal Medicine Physician
  • Fort Pierce, FL
  • NPI 1013959394
  NPD (past)
• Medical Group at South Miami Inc

  • Specialist
  • South Miami, FL
  • NPI 1619086410
  NPD (past)
• Primehealth Physicians LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1871838193
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1720073877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26607 N 59TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850836523",
            "telephone_number": "623-414-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26607 N 59TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850836523",
            "telephone_number": "623-414-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ELIO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME41476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIO",
            "last_name": "FERNANDEZ",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alejandro Santos Fernandez
• Briana Fernandez, RBT
• Dorothy Emily Fernandez, RN, BSN
• Ebony Fernandez, RBT
• Edith Fernandez, CTRS
• Jadeliene Fernandez
• Jennifer Fernandez, MD
• Jessmin Fernandez
• Jose G Fernandez, DDS
• Mia G Fernandez, RBT

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.