Enrique C Fernandez MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME87802 Issued in FL

Legal business name

ENRIQUE C FERNANDEZ MD PA

Practice address

11760 Bird Rd
Suite 741
Miami, FL 33175-3582

Phone

(305) 559-9732

Fax

(786) 427-1332

NPI assigned

Dec 19, 2007

Last updated

Feb 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Enrique C Fernandez, MDNPI 1528040086

Title

President

Phone

(305) 559-9732

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Enrique C Fernandez, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1528040086
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1932383460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 558642",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332558642",
            "telephone_number": "305-559-9732",
            "fax_number": "786-427-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 BIRD RD",
            "address_2": "SUITE 741",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-559-9732",
            "fax_number": "786-427-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRIQUE C FERNANDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-559-9732",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME87802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enlightened Health, LLC
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• Ennis Healthcare Solutions LLC
• Enriace Medical Supply Corp.
• Enrique a Wulff MD PA
• Enrique C. Escofet, DDS, PA
• Enrique Diaz MD PA
• Enrique G. Casuso,M.D., P.a
• Enrique J Canton MD PA
• Enrique J Huertas Jr MD PA

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.