Marta Rosa Fernandez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME90692 Issued in FL

Practice address

7900 NW 33Rd St Ste 101
Hollywood, FL 33024-2209

Phone

(954) 962-5300

Fax

(954) 962-0100

NPI assigned

Nov 16, 2005

Last updated

Jun 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5711/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/9289/brand/1/csg/1/fhir/r4
• Direct secure messaging: marta.fernandez.1@9289.direct.athenahealth.com

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.

• Jireh Medical Center Corp

  • General Practice Physician
  • Hollywood, FL
  • NPI 1932566965
  Medicare reassignment NPD Authorized official
• Clinica Santa Clara Inc

  • Family Medicine Physician
  • Miami, FL
  • NPI 1760238380
  Medicare reassignment NPD
• Correa Medical Center Corp

  • General Practice Physician
  • Miami, FL
  • NPI 1427947563
  Medicare reassignment NPD
• SW Florida Regional Medical Center Inc

  • Physical Therapy Clinic/Center
  • Naples, FL
  • NPI 1174800924
  Medicare reassignment NPD
• Lifetime Solutions Agency, LLC

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1578046215
  Medicare reassignment
• Primary Care and Educational Center of Miami

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1174995609
  Medicare reassignment
• Management Care LLC

  • General Practice Physician
  • Hollywood, FL
  • NPI 1639734148
  NPD (past) Authorized official
• Marta R Fernandez MD P a

  • General Practice Physician
  • Cape Coral, FL
  • NPI 1780880203
  NPD (past) Authorized official
• Naples Health Care, Inc

  • Clinic/Center
  • Naples, FL
  • NPI 1740583624
  NPD (past) Authorized official
• Lifetime Solutions Agency, LLC

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1821751769
  NPD
• VKJ Associates Corp

  • Clinic/Center
  • Naples, FL
  • NPI 1447959028
  NPD
• Human Care Medical Group Inc

  • Family Medicine Physician
  • Coral Gables, FL
  • NPI 1326135617
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1780666750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 NW 33RD ST STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242209",
            "telephone_number": "954-962-5300",
            "fax_number": "954-962-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 NW 33RD ST STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242209",
            "telephone_number": "954-962-5300",
            "fax_number": "954-962-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 W Oakland Park Blvd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Oakland Park",
            "state": "FL",
            "postal_code": "333111409",
            "country_code": "US",
            "telephone_number": "954-840-8640",
            "fax_number": "954-840-8641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12535 S Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Pinecrest",
            "state": "FL",
            "postal_code": "331565930",
            "country_code": "US",
            "telephone_number": "786-610-5304",
            "fax_number": "786-292-2599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2648 SW 87th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331652031",
            "country_code": "US",
            "telephone_number": "786-828-7905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "139 NE 15th St",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330304508",
            "country_code": "US",
            "telephone_number": "305-247-1213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MARTA",
        "middle_name": "ROSA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME90692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan Francisco Fernandez, CBHCM
• Katherim Fernandez
• Kristina Victoria Fernandez
• Manuel Antonio Fernandez
• Maria L Fernandez
• Mirta Fernandez
• Nadia Fernandez
• Oscar Fernandez
• Vanessa Fernandez
• Vania Enid Fernandez, MD

• General Practice Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.