Fernandez-Gonzalez M.D.;P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME17907 Issued in FL

Legal business name

FERNANDEZ-GONZALEZ M.D.;P.A.

Practice address

4790 NW 7TH St Ste 212
Miami, FL 33126-2200

Phone

(305) 639-8109

Fax

(305) 639-8302

NPI assigned

Nov 3, 2014

Organization subpart

No

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

Authorized official

Name

Manuel Fernandez-Gonzalez, M.D.

Title

President

Phone

(305) 639-8109

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1932504941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 NW 7TH ST STE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262200",
            "telephone_number": "305-639-8109",
            "fax_number": "305-639-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 NW 7TH ST STE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262200",
            "telephone_number": "305-639-8109",
            "fax_number": "305-639-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDEZ-GONZALEZ M.D.;P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ-GONZALEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-639-8109",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME17907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Alicia Fernandez-Calienes
• Solange Fernandez-Campos
• Jenifer Fernandez-Cardo
• Osmar Fernandez-Chuyn
• Olguyne Fernandez-Fraga, RD
• Beatriz A Fernandez-Gregson, PMHNP-BC
• Manuel Feijoo Fernandez-Jacobs, LCSW
• Enedys Maria Fernandez-Ledon, MS
• Alina Maria Fernandez-Lopez, D.M.D
• Ania Fernandez-Maitin, MD

• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.