Enrique Jose Fernandez, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

ME0047930 Issued in FL

Practice address

2902 59TH Street W
Suite a
Bradenton, FL 34209-7021

Phone

(941) 795-2088

Fax

(941) 792-5139

NPI assigned

May 2, 2006

Last updated

Oct 4, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Bradenton Plastic Surgery, P. a.

  • Plastic Surgery Physician
  • Bradenton, FL
  • NPI 1801148432
  Authorized official Same address or phone

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1801854625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 59TH STREET W",
            "address_2": "SUITE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097021",
            "telephone_number": "941-795-2088",
            "fax_number": "941-792-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 59TH STREET W",
            "address_2": "SUITE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097021",
            "telephone_number": "941-795-2088",
            "fax_number": "941-792-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ENRIQUE",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME0047930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010008466",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Fernandes, PA
• Alberto O Fernandez Bravo, MD
• Jorge L Fernandez Guerra, APRN, NP-C
• Alexandra Fernandez
• Claudia Seremy Fernandez, MD
• Lucille Fernandez, LCSW
• Liyanage Wimal Fernando, M.D.
• Steven R Ferreira, D.O.
• Tanya Ferreira
• Anthony John Ferretti, D.O.

• Plastic and Reconstructive Surgery Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.