Individual provider Active NPI

Lino B. Fernandez, MD

  • Psychiatry Physician
  • Coral Gables, FL
National Provider Identifier
1881682342
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME39453 Issued in FL
Practice address
2103 Coral Way Ste 601
Coral Gables, FL 33145-2656
Phone
(305) 967-8144
Fax
(888) 845-0592
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X ME39453 FL
Geriatric Psychiatry Physician 2084P0805X ME39453 FL
Psychiatry Physician 2084P0800X ME39453 FL Primary

Addresses

Primary practice location

2103 Coral Way Ste 601
Coral Gables, FL 33145-2656

Mailing address

2103 Coral Way Ste 601
Coral Gables, FL 33145-2656
Phone (305) 967-8144

Other practice location 1

6141 SW 72nd St Ste 403
South Miami, FL 33143-5026
Phone (305) 967-8144

Other identifiers 1

IdentifierTypeStateIssuer
008279700MedicaidFL

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New Perspective Mental Health LLC Psychiatry CurrentSince Mar 1, 2020 Accepting new patients
Lino B. Fernandez, MD & Associates, PA Psychiatry PastSince Jan 5, 2020 Accepting new patients
Compass Health Systems, P.a. Psychiatry Past Accepting new patients

Locations

2103 Coral Way
Ste 601
Coral Gables, FL 33145
Phone (305) 967-8144

6141 Sunset Dr
Ste 402
South Miami, FL 33143
Phone (305) 665-2300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1881682342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 CORAL WAY STE 601",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452656",
            "telephone_number": "305-967-8144",
            "fax_number": "888-845-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 CORAL WAY STE 601",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452656",
            "telephone_number": "305-967-8144",
            "fax_number": "888-845-0592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6141 SW 72nd St Ste 403",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331435026",
            "country_code": "US",
            "telephone_number": "305-967-8144",
            "fax_number": "888-845-0592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "LINO",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME39453",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME39453",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME39453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008279700",
            "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 Jan 3, 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.

Verify at the official NPI Registry.