Marta R Fernandez MD P a

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME90692 Issued in FL

Legal business name

MARTA R FERNANDEZ MD P A

Practice address

2500 Del Prado Blvd S
Cape Coral, FL 33904-5750

Phone

(239) 772-1194

Fax

(239) 772-1196

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marta R Fernandez, MD PANPI 1780666750

Title

President

Phone

(305) 608-0524

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marta Rosa Fernandez, M.D.

  • General Practice Physician
  • Hollywood, FL
  • NPI 1780666750
  NPD (past) Authorized official

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1780880203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045750",
            "telephone_number": "239-772-1194",
            "fax_number": "239-772-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045750",
            "telephone_number": "239-772-1194",
            "fax_number": "239-772-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTA R FERNANDEZ MD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-608-0524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME90692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME90692",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER",
            "identifier": "268370900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Nicole Marrero
• Abigail Marritt, DO
• Karen M Marshall, LMT
• Jennifer Marsich, HEALTH COACH
• Tasha Marson
• Nuria Martell Alvarez, RBT-25-449265
• Mary Martelloni
• Nereyda Martin Cabrera
• Isabela Martin Gonzalez
• Luisa Martin Gonzalez

• General Practice Physician in Cape Coral, FL
• Providers in Cape Coral, 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 Oct 12, 2011; 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.