Alexis Pedro Fernandez Dominguez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11035389 Issued in FL

Practice address

1695 NW 110TH Ave Ste 218
Miami, FL 33172-1929

Phone

(305) 456-7580

NPI assigned

Sep 18, 2024

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Roberto E Sanchez MD PA

  • Neurology Physician
  • Sweetwater, FL
  • NPI 1023487147

  Single Specialty

  NPD

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1801623251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 SW 148TH TERRACE RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866311",
            "telephone_number": "786-603-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 NW 110TH AVE STE 218",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331721929",
            "telephone_number": "305-456-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ DOMINGUEZ",
        "first_name": "ALEXIS",
        "middle_name": "PEDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Fernandez Diaz
• Delio Jesus Fernandez Diaz
• Jorge Luis Fernandez Diaz
• Leticia Fernandez Diaz, MSN, FNP, APRN-C
• Yailin Fernandez Diaz
• Arletis Maria Fernandez Dominguez, DMD
• Osvaldo Antonio Fernandez Dominguez, M.D.
• Rosmeri D Fernandez Dominguez
• Ilsi Fernandez Duarte
• Imandra Fernandez Duarte

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.