Fernando Baquerizo
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Hudson, FL
NPI 1992407662 · NPPES record last updated Mar 20, 2023
Key facts
- NPI
- 1992407662
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 14000 Fivay Rd
Hudson, FL 34667-7103 - Phone
- (727) 861-4453
- NPI assigned
- Mar 20, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240206001613 | FL | Order and Referring Only - Diagnostic Radiology |
3476996588 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- fernando.baquerizo@hca4.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
14000 Fivay Rd
Hudson, FL 34667-7103
Mailing address
14000 Fivay Rd
Hudson, FL 34667-7103
Phone (727) 861-4453
Other providers in Hudson, FL
- Zachary Baker-Young
- Catherine M Baldino
- Kayode Moshood Balogun
- Bangus Surgical Specialists LLC
- Bangus Surgical Specialists LLC
- Barbara Queally Counseling
- Hunter Aaron Barcena
- Linda Sheldein Bark
- Anna Barker
- Erick Barnard
All providers in Hudson, FL · Student in an Organized Health Care Education/Training Program in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.