Individual provider Active NPI

Jose Alberto Fernandez Chavez, MD

  • Hematology & Oncology Physician
  • South Miami, FL
National Provider Identifier
1972595668
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME96227 Issued in FL
Practice address
7029 SW 61St Ave
South Miami, FL 33143-3420
Phone
(786) 456-8399
Fax
(786) 456-8390
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15819 PR
Hematology & Oncology Physician 207RH0003X 15819 PR
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X ME96227 FL Primary

Addresses

Primary practice location

7029 SW 61St Ave
South Miami, FL 33143-3420

Mailing address

5996 SW 70TH St FL 5
South Miami, FL 33143-3540
Phone (305) 284-7577

Other practice location 1

6140 SW 70th St Fl 2
South Miami, FL 33143-3419
Phone (305) 284-7577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101012000189 PR Practitioner - Hematology/Oncology 6103018932 Practice locations: Humacao, PR
I20190816002164 FL Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Hematology 6103018932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Hematology, Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Multispecialty Medical Services LLCGroup PAC ID 1850558842, 11 clinicians

Practice addresses (Care Compare)

5996 SW 70TH St
South Miami, FL 33143-3540

7031 SW 62 Ave
South Miami, FL 33143-4701
Phone (305) 284-7700

Hospital & facility affiliations

  • Larkin Community Hospital Hospital, South Miami, FL, CCN 100181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15819PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Multispecialty Medical Services LLC Multi-Specialty CurrentSince Nov 13, 2022 Accepting new patients
Fersal PSC Past Accepting new patients

Locations

1435 W 49th St
Ste 402
Hialeah, FL 33012

5996 SW 70th St
Fl 5
South Miami, FL 33143
Phone (305) 284-7655

6140 SW 70th St
#2
South Miami, FL 33143
Phone (305) 284-7577

7029 SW 61st Ave
South Miami, FL 33143
Phone (305) 666-2224

5996 SW 70th St
Fl 3
South Miami, FL 33143

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

Networks

  • HealthSun Health Plans Network

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1972595668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5996 SW 70TH ST FL 5",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433540",
            "telephone_number": "305-284-7577",
            "fax_number": "305-284-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7029 SW 61ST AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433420",
            "telephone_number": "786-456-8399",
            "fax_number": "786-456-8390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6140 SW 70th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331433419",
            "country_code": "US",
            "telephone_number": "305-284-7577",
            "fax_number": "305-284-7688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ CHAVEZ",
        "first_name": "JOSE",
        "middle_name": "ALBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15819",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "15819",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME96227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.