Individual provider Active NPI

Louis Adalberto Fernandez, MD

  • Cardiovascular Disease Physician
  • Doral, FL
National Provider Identifier
1952388274
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME53375 Issued in FL
Practice address
2301 NW 87TH Avenue
Suite 502
Doral, FL 33172
Phone
(305) 558-3300
Fax
(305) 558-5775
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME53375 FL Primary

Addresses

Primary practice location

2301 NW 87TH Avenue
Suite 502
Doral, FL 33172

Mailing address

2301 NW 87TH Avenue
Suite 502
Doral, FL 33172
Phone (305) 558-3300

Other identifiers 1

IdentifierTypeStateIssuer
063088800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080318000411 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9335225242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Institute for Cardiovascular Disease PAGroup PAC ID 3779669684, 2 clinicians

Practice addresses (Care Compare)

2301 NW 87 Ave
Suite 502
Doral, FL 33172-2411
Phone (305) 558-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME53375FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Ami Kendall Inc Cardiovascular Disease CurrentSince May 1, 1998 Accepting new patients
Institute for Cardiovascular Disease PA CurrentSince Jan 1, 2008 Accepting new patients
South Florida Cardiology Associates LLC Cardiovascular Disease Past Accepting new patients

Locations

2301 NW 87th Ave
Ste 502
Doral, FL 33172
Phone (305) 558-3300

2140 W 68th St
Ste 200
Hialeah, FL 33016
Phone (305) 558-3300

11750 Bird Rd
#306
Miami, FL 33175
Phone (954) 967-0107

7100 Pines Blvd
Ste 19
Pembroke Pines, FL 33024

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1952388274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 NW 87TH AVENUE",
            "address_2": "SUITE 502",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33172",
            "telephone_number": "305-558-3300",
            "fax_number": "305-558-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 NW 87TH AVENUE",
            "address_2": "SUITE 502",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33172",
            "telephone_number": "305-558-3300",
            "fax_number": "305-558-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "LOUIS",
        "middle_name": "ADALBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME53375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063088800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.