Individual provider Active NPI

Marygold Lora Fernandez, M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1760748644
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME127988 Issued in FL
Practice address
11379 SW 40TH St
Miami, FL 33165-4420
Phone
(305) 223-1959
Fax
(786) 822-5217
NPI assigned
Apr 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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 ME127988 FL Primary

Addresses

Primary practice location

11379 SW 40TH St
Miami, FL 33165-4420

Mailing address

8333 NW 53Rd St FL 6
Doral, FL 33166-4783

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marygold.fernandez@chealth.eclinicaldirectplus.com Health Information Exchange (HIE)

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
I20171012000846 FL Practitioner - Family Practice 2466752688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cano Health, LLCGroup PAC ID 1759565047, 141 clinicians

Practice addresses (Care Compare)

1 Glen Royal Pkwy
Miami, FL 33125-5287
Phone (954) 514-9360

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cano Health, LLC CurrentSince Jun 15, 2021 Accepting new patients
Little River Med 1 PA Family Medicine PastSince Oct 1, 2015 Accepting new patients

Locations

18469 S Dixie Hwy
Cutler Bay, FL 33157
Phone (786) 573-9400

8333 NW 53rd St
Fl 6
Doral, FL 33166

9725 NW 117th Ave
Ste 200
Medley, FL 33178
Phone 9545149360 ext. 8515

12600 SW 120th St
Ste 101
Miami, FL 33186
Phone (305) 506-1930

295 Park Blvd
Miami, FL 33126
Phone (305) 261-7979

6801 SW 8th St
Miami, FL 33144
Phone (305) 835-0413

11379 SW 40th St
Miami, FL 33165
Phone (305) 223-1959

1695 SW 107th Ave
Miami, FL 33165
Phone (305) 207-4443

13768 SW 8th St
Miami, FL 33184
Phone (305) 228-4001

8420 W Flagler St
Miami, FL 33144
Phone (305) 552-0109

8300 W Flagler St
Ste 210
Miami, FL 33144
Phone (305) 553-0270

7306 SW 117th Ave
Miami, FL 33183
Phone (305) 220-0220

8420 W Flagler St
Ste 120
Miami, FL 33144
Phone (305) 445-0940

680 N University Dr
Pembroke Pines, FL 33024
Phone (954) 538-6868

17061 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 417-8498

Interoperability endpoints

  • Direct secure messaging: marygold.fernandez@chealth.eclinicaldirectplus.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": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1760748644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 NW 53RD ST FL 6",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11379 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654420",
            "telephone_number": "305-223-1959",
            "fax_number": "786-822-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MARYGOLD",
        "middle_name": "LORA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME127988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marygold.fernandez@chealth.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "11379 SW 40th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331654420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.