Individual provider Active NPI

Juan Miguel Fernandez, M.D.

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1992803308
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME100705 Issued in FL
Practice address
2322 NW 28TH St
Miami, FL 33142-6543
Phone
(305) 633-3667
Fax
(305) 633-3664
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME100705 FL Primary

Addresses

Primary practice location

2322 NW 28TH St
Miami, FL 33142-6543

Mailing address

2322 NW 28TH St
Miami, FL 33142-6543
Phone (305) 633-3667

Other identifiers 2

IdentifierTypeStateIssuer
280609600MedicaidFL
ME100705OtherFLORIDA LICENCE

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
I20080812000413 FL Practitioner - Internal Medicine 9335190966 Reassigns benefits to 1 organization
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2322 NW 28TH St
Miami, FL 33142-6543
Phone (305) 633-3667

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME100705FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Megatesting Inc CurrentSince Jul 16, 2012 Accepting new patients
Fernandez Research LLC Current Accepting new patients
Juan Miguel Fernandez MD PA PastSince Jul 16, 2012 Accepting new patients
Pasteur & Wellmax Medical Centers LLC PastSince Oct 20, 2024 Accepting new patients

Locations

351 NW Le Jeune Rd
Ste 103
Miami, FL 33126
Phone (305) 262-9900

2322 NW 28th St
Miami, FL 33142
Phone (305) 227-8540

Organizations & group practices 4

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1992803308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 NW 28TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331426543",
            "telephone_number": "305-633-3667",
            "fax_number": "305-633-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 NW 28TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331426543",
            "telephone_number": "305-633-3667",
            "fax_number": "305-633-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JUAN",
        "middle_name": "MIGUEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280609600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENCE",
            "identifier": "ME100705",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.