Organization Active NPI

Fernandez Orthofeet Corp

  • Prosthetic/Orthotic Supplier
  • Hialeah, FL
National Provider Identifier
1972157428
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
FERNANDEZ ORTHOFEET CORP
Practice address
3750 W 16TH Ave Suite 102
Hialeah, FL 33012
Phone
(786) 254-7989
Fax
(305) 640-5774
NPI assigned
Aug 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Diamelys Fernandez
Title
President
Phone
(786) 449-8559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3750 W 16TH Ave Suite 102
Hialeah, FL 33012

Mailing address

3750 W 16TH Ave Suite 102
Hialeah, FL 33012
Phone (786) 254-7989

Other names 1

  • Fernandez Orthofeet Corp Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200428000475 FL DME Supplier - Medical Supply Company With Orthotic-Prosthetic 8123458437 Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1972157428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE SUITE 102",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "786-254-7989",
            "fax_number": "305-640-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE SUITE 102",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "786-254-7989",
            "fax_number": "305-640-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDEZ ORTHOFEET CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "DIAMELYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-449-8559"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fernandez Orthofeet Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.