Active NPI
Juan Miguel Fernandez, M.D.
- Internal Medicine Physician
- Miami, FL
National Provider Identifier
1992803308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME100705
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280609600 | Medicaid | FL | |
| ME100705 | Other | FLORIDA 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME100705 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Megatesting Inc | Current | Accepting new patients | |
| Fernandez Research LLC | Current | Accepting new patients | |
| Juan Miguel Fernandez MD PA | Past | Accepting new patients | |
| Pasteur & Wellmax Medical Centers LLC | Past | 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.
-
- Clinic/Center
- Miami, FL
- NPI 1891824348
-
- Research Study Specialist
- Miami, FL
- NPI 1396588968
-
- Clinic/Center
- Miami, FL
- NPI 1528232436
-
- Clinic/Center
- Miami, FL
- NPI 1376363564
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.