Organization Active NPI

Manuel a Fernandez MD PA

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1881850303
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME17907 Issued in FL
Legal business name
MANUEL A FERNANDEZ MD PA
Practice address
9600 SW 8TH St Ste 15
Miami, FL 33174-2947
Phone
(305) 207-7595
Fax
(305) 207-6273
NPI assigned
Aug 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Authorized official

Name
Dr. Manuel A Fernandez Mdpa, MD
Title
President/Owner
Phone
(305) 207-7595

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X ME17907 FL
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X ME17907 FL Primary

Addresses

Primary practice location

9600 SW 8TH St Ste 15
Miami, FL 33174-2947

Mailing address

9600 SW 8TH St Ste 15
Miami, FL 33174-2947
Phone (305) 207-7595

National Provider Directory

National Provider Directory

Locations

4836 SW 8th St
Coral Gables, FL 33134
Phone (305) 774-0921

9600 SW 8th St
Ste 1516
Miami, FL 33174
Phone (305) 207-7172

9600 SW 8th St
Ste 15
Miami, FL 33174
Phone (305) 207-7595

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1881850303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 SW 8TH ST STE 15",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742947",
            "telephone_number": "305-207-7595",
            "fax_number": "305-207-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 SW 8TH ST STE 15",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742947",
            "telephone_number": "305-207-7595",
            "fax_number": "305-207-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL A FERNANDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ MDPA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-207-7595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME17907",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME17907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.