Tatiana Fernandez Botero

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

PTA21773 Issued in FL

Practice address

7975 Lake Underhill Rd
Orlando, FL 32822-8202

Phone

(407) 303-8626

NPI assigned

Aug 9, 2018

Last updated

Aug 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1912486028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 LAKE UNDERHILL RD STE 345",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228209",
            "telephone_number": "407-303-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228202",
            "telephone_number": "407-303-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ BOTERO",
        "first_name": "TATIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "PTA21773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khaled Fernainy, M.D.
• Kayo Henrique Fernandes E Magalhaes Santos
• Carrollann Fernandes, APRN
• Tirzah Fernandes
• Beatriz Fernandez Arevalo
• Gleniar Fernandez Camallere
• Valerie Fernandez Colon, MD
• Leonel Fernandez Fernandez
• Diego Fernandez Garcia-Roves, M.D.
• Jean Carlos Fernandez Gonzalez, MD

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.