Individual provider Active NPI

Migdalys Fernandez I, LMT

  • Rehabilitation Chiropractor
  • Miami, FL
National Provider Identifier
1962791244
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
62399 Issued in FL
Practice address
12732 Ave Swe 17 Terra
12732
Miami, FL 33175
Phone
(786) 426-7071
NPI assigned
Apr 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 62399 FL Primary

Addresses

Primary practice location

12732 Ave Swe 17 Terra
12732
Miami, FL 33175

Mailing address

12732 SW 17TH Ter
12732 SW 17 Terr
Miami, FL 33175-1223
Phone (786) 426-7071

Other identifiers 1

IdentifierTypeStateIssuer
62399OtherFLMASSAGE THERAPIST

Other names 1

  • Mrs. Migdalys Fernandez I Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
62399FLMDRehabilitation Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1962791244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12732 SW 17TH TER",
            "address_2": "12732 SW 17 TERR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751223",
            "telephone_number": "786-426-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12732 AVE SWE 17 TERRA",
            "address_2": "12732",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33175",
            "telephone_number": "786-426-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MIGDALYS",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "62399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "62399",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIGDALYS",
            "last_name": "FERNANDEZ",
            "prefix": "MRS.",
            "suffix": "I",
            "credential": "LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 7, 2011; 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.