Individual provider Active NPI

Victoria Candela Fernandez, LAC

  • Acupuncturist
  • Miami, FL
National Provider Identifier
1720680044
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP4180 Issued in FL
Practice address
3399 NW 72ND Ave Ste 224
Miami, FL 33122-1344
Phone
(305) 298-8489
NPI assigned
Nov 11, 2020
Last updated
Nov 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP4180 FL Primary

Addresses

Primary practice location

3399 NW 72ND Ave Ste 224
Miami, FL 33122-1344

Mailing address

3250 SW 20TH St
Miami, FL 33145-2254
Phone (305) 903-9364

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP4180FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Doral Acupuncture LLC Acupuncturist CurrentSince Nov 15, 2020 Accepting new patients

Locations

3399 NW 72nd Ave
Ste 224
Miami, FL 33122
Phone (305) 298-8489

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1720680044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 SW 20TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452254",
            "telephone_number": "305-903-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 NW 72ND AVE STE 224",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221344",
            "telephone_number": "305-298-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "VICTORIA",
        "middle_name": "CANDELA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP4180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.