Organization Active NPI

Carmen C Fernandez MD PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1740445626
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARMEN C FERNANDEZ MD PA
Practice address
6419 SW Bird Road
Miami, FL 33155
Phone
(305) 569-0002
Fax
(305) 569-0005
NPI assigned
Jul 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Dr. Carmen C Fernandez, MD PA
Title
Dr
Phone
(305) 569-0002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6419 SW Bird Road
Miami, FL 33155

Mailing address

PO Box 830848
Miami, FL 33283-0848
Phone (305) 569-0002

Other identifiers 1

IdentifierTypeStateIssuer
047928400MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1740445626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830848",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332830848",
            "telephone_number": "305-569-0002",
            "fax_number": "305-569-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6419 SW BIRD ROAD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-569-0002",
            "fax_number": "305-569-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN C FERNANDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "305-569-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047928400",
            "state": "FL"
        }
    ],
    "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 Aug 11, 2010; 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.