Active NPI
Maria Cristina Fernandez, D.D.S.
- General Practice Dentistry
- Coral Gables, FL
National Provider Identifier
1790826683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11069
- Practice address
- 4830 S.W. 8 Street
Coral Gables, FL 33134 - Phone
- (305) 446-1067
- Fax
- (305) 446-0687
- NPI assigned
- Feb 12, 2007
- Last updated
- Jul 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11069 | FL | Primary |
Addresses
Primary practice location
4830 S.W. 8 Street
Coral Gables, FL 33134
Mailing address
4830 S.W. 8 Street
Coral Gables, FL 33134
Phone (305) 446-1067
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13810 | Other | FL | ORAL HEALTH SERVICE |
| 3578 | Other | FL | COMP DENT |
| 63259 | Other | FL | BLUE CROSS BLUE SHIELD |
| 633142 | Other | FL | UNITED CONCORDIA |
| 23096-1 | Other | FL | UNITED HEALTH CARE |
| 71-11069 | Other | FL | DELTA |
| 9776 | Other | FL | MET LIFE |
| GD435701 | Other | FL | PDP |
| 0725021-00 | Medicaid | FL | |
| 575-3700 | Other | FL | JMH |
| F4LA | Other | FL | TDC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11069 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1790826683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4830 S.W. 8 STREET",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33134",
"telephone_number": "305-446-1067",
"fax_number": "305-446-0687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4830 S.W. 8 STREET",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33134",
"telephone_number": "305-446-1067",
"fax_number": "305-446-0687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "MARIA",
"middle_name": "CRISTINA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "11069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORAL HEALTH SERVICE",
"identifier": "13810",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMP DENT",
"identifier": "3578",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "63259",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "633142",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "23096-1",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA",
"identifier": "71-11069",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MET LIFE",
"identifier": "9776",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PDP",
"identifier": "GD435701",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0725021-00",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JMH",
"identifier": "575-3700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TDC",
"identifier": "F4LA",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.