DR. HENRIQUE JOSE FERNANDEZ


Address: 1600 N Grand Ave, Suite 150, Pueblo, CO 81003-2749
Phone: 7195957680

DR. HENRIQUE JOSE FERNANDEZ (NPI# 1174770614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174770614
Entity Type Individual
Full Name DR. HENRIQUE JOSE FERNANDEZ
Other Name DR. HENRIQUE JOSE FERNANDEZ ANGULO
Credential MD
Practice Address 1600 N Grand Ave
Suite 150
Pueblo
CO 81003-2749
Mailing Address Po Box 560825
Denver
CO 80256-0825
Practice Telephone 7195957680
Practice Fax Number 7195957687
Mailing Telephone 7195957580
Mailing Fax Number 7195450176
Enumeration Date 2008-08-27
Last Update Date 2016-02-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
48454 CO Allopathic & Osteopathic Physicians
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
TRN11230 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 75771055 05

Office Location

Street Address 1600 N GRAND AVE
SUITE 150
City PUEBLO
State CO
Zip Code 81003-2749

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457354763 Hisman H Percival Surgery 1600 N Grand Ave, Suite 430, Pueblo, CO 81003-2700 2005-05-31
1710365416 Paladina Health, LLC Family Medicine 1600 N Grand Ave, Suite 540, Pueblo, CO 81003-2700 2015-05-13
1407249188 Christopher Traut Neurological Surgery 1600 N Grand Ave, Suite 508, Pueblo, CO 81003-2700 2015-03-05
1124423116 Kati Jo Foechterle Nurse Practitioner 1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2700 2014-11-03
1326469248 Micah Johnson Physician Assistant 1600 N Grand Ave, Suite 508, Pueblo, CO 81003-2700 2013-12-19
1720364177 Anesthesia Management Services, LLC Nurse Anesthetist, Certified Registered 1600 N Grand Ave, Suite 420, Pueblo, CO 81003-2700 2011-10-31
1326366105 Rachel Christine Niemet Obstetrics & Gynecology 1600 N Grand Ave, Ste 400, Pueblo, CO 81003-2700 2010-05-04
1306081237 Neil A Banga Surgery 1600 N Grand Ave, Suite 430, Pueblo, CO 81003-2700 2008-12-05
1831353705 Marcel Jabour Junqueira Internal Medicine 1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2700 2008-07-10
1164685228 Lev Asherov Internal Medicine 1600 N Grand Ave, Suite 245, Pueblo, CO 81003-2731 2008-07-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164042016 Sunil Kumar Student in an Organized Health Care Education/Training Program Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2020-04-21
1497382303 Pueblo Family Dentistry Pllc Dentist 701 N Grand Avenue, Suite B, Pueblo, CO 81003 2020-03-23
1023654241 Elmer A. Villalon, Dmd, LLC Clinic/Center 1225 North Main Street, #207, Pueblo, CO 81003 2019-11-22
1518434349 Mariam Rahim Internal Medicine Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2018-10-30
1003308222 Julia Mcneice Internal Medicine Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2018-06-04
1689164857 Jessica Sels Internal Medicine Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 2018-05-14
1700313459 Allison Vigil Occupational Therapist 1600 W. 24th St, Pueblo, CO 81003 2017-05-12
1245682020 Paul S Bongat Internal Medicine 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 2016-07-06
1013368596 Daniel R Long Internal Medicine 411 West 14th Street, Pueblo, CO 81003 2016-06-27
1396195665 Parkview Medical Center General Acute Care Hospital 411 W. 14th St, Pueblo, CO 81003 2016-06-17
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528364064 Lirio S. Polintan Md PC Internal Medicine 1600 N Grand Ave Ste 345, Pueblo, CO 81003-2762 2011-02-01
1437115409 Lirio S Polintan Internal Medicine 1600 N Grand, Suite 150, Pueblo, CO 81003-2749 2006-04-26
1790327112 Parkview Ancillary Services Internal Medicine 1600 N. Grand Ave., Ste. 300, Pueblo, CO 81003-2742 2019-10-17
1780226035 Parkview Ancillary Services Internal Medicine 1600 N. Grand Ave., Ste. 150, Pueblo, CO 81003-2749 2019-10-08
1073933941 Jimmy Giang Internal Medicine 1600 N Grand Ave Ste 345, Pueblo, CO 81003-2762 2014-04-18
1417146846 William Murchison Internal Medicine 1600 N. Grand Ave., Suite 345, Pueblo, CO 81003-2762 2007-10-22
1275631285 Sung K Yang Internal Medicine 1600 N. Grand Ave., Ste 150, Pueblo, CO 81003-2749 2006-09-21
1669576757 Charles J Ruzkowski Internal Medicine 1600 N Grand Ave, Suite 150, Pueblo, CO 81003-2749 2006-09-11
1346261161 Catholic Health Initiatives Colorado Internal Medicine 1020 Lakeview Ave, Pueblo, CO 81004-3508 2006-07-21
1033135330 Digestive Diseases Specialists of Colorado,llc Internal Medicine 1600 N Grand Ave, Suite 440, Pueblo, CO 81003-2700 2006-07-14
Find all providers in PUEBLO

Competitor

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City PUEBLO
Zip Code 81003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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