Active NPI
Juan Antonio Gonzalez Fernandez, PHARMD
- Pharmacist
- Hialeah, FL
National Provider Identifier
1801491402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PSI61743
- Practice address
- 3141 W 76TH St Ste 5
Hialeah, FL 33018-3885 - Phone
- (786) 353-0086
- NPI assigned
- Dec 1, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PSI61743 | FL | Primary |
Addresses
Primary practice location
3141 W 76TH St Ste 5
Hialeah, FL 33018-3885
Mailing address
2311 SW 86TH Ave
Davie, FL 33324-5331
Phone (786) 319-6286
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSI61743 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1801491402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 SW 86TH AVE",
"city": "DAVIE",
"state": "FL",
"postal_code": "333245331",
"telephone_number": "786-319-6286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3141 W 76TH ST STE 5",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330183885",
"telephone_number": "786-353-0086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ FERNANDEZ",
"first_name": "JUAN",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PSI61743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.