DR. ROBERTO A. FERNANDEZ (NPI# 1720101900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720101900 |
| Entity Type | Individual |
| Full Name | DR. ROBERTO A. FERNANDEZ |
| Credential | MD |
| Practice Address |
2885sw3rd Ave 300-400 Miami FL 33129-2324 |
| Practice Telephone | 7867177509 |
| Practice Fax Number | 7867177529 |
| Mailing Telephone | 7867177509 |
| Mailing Fax Number | 7867177529 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2015-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ACN 259 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 16642 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | MEDICAL DOCTOR | 16642 | 01 |
| FL | MEDICAL LICENSE | ACN 259 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013186337 | Roberto Angel Fernandez | Chiropractor | 9950 Sw 107th Ave Ste 202, Miami, FL 33176-2785 | 2008-02-21 |
| 1275597692 | Roberto De J Fernandez | Internal Medicine | 135 W 49 St, Hialeah, FL 33012 | 2006-04-13 |
| 1043648736 | Roberto Fernandez | Emergency Medicine | 3663 S Miami Ave, Miami, FL 33133-4253 | 2013-10-16 |
| 1922446459 | Roberto Joaquin Fernandez | Internal Medicine | 1001 E Superior St Ste L101, Duluth, MN 55802 | 2013-06-06 |
| Street Address |
2885SW3RD AVE 300-400 |
| City | MIAMI |
| State | FL |
| Zip Code | 33129-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275029548 | Daniel Sheridan | Psychologist | 2730 Sw 3rd Ave., Suite 202-o, Miami, FL 33129 | 2018-07-10 |
| 1710494166 | Ernestina Dupote | Nurse Practitioner | 200 Se 15th Rd, 16a, Miami, FL 33129 | 2018-01-08 |
| 1497264212 | Maria Fumero Mussini | Acupuncturist | 64 Sw 18 Road, Miami, FL 33129 | 2017-09-25 |
| 1477082964 | Lillian Maite Moya | Nurse Practitioner | 2222 Brickell Ave Apt 5, Miami, FL 33129 | 2017-06-08 |
| 1104170091 | Rodolfo Antonio Paez | Massage Therapist | 2951 Sw 1 Ave, Miami, FL 33129 | 2012-10-31 |
| 1134489560 | Jolie M Cummings | Speech-Language Pathologist | 2625 S.w. 3 Avenue, Miami, FL 33129 | 2012-05-18 |
| 1396049656 | Lila Giselle Paredes Vera | Speech-Language Pathologist | 1723 Sw 2nd Ave Apt 1202, Miami, FL 33129 | 2010-12-30 |
| 1891939294 | Alexis Dominguez | Obstetrics & Gynecology | 3161 South Miami Ave, Ste 710, Miami, FL 33129 | 2009-04-29 |
| 1538360821 | Assisted Home Living #2 | Assisted Living Facility | 2942 Sw 4 Ave, Miami, FL 33129 | 2007-05-31 |
| 1518168889 | Assisted Home Living #4 | Assisted Living Facility | 316 Sw 18 Terr, Miami, FL 33129 | 2007-05-31 |
| Find all providers in zip 33129 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| 1942815774 | Mocasa Wellness Center Inc | General Practice | 330 Sw 27th Ave Ste 506, Miami, FL 33135-2967 | 2020-09-09 |
| 1316550163 | Asela Infante Suarez | General Practice | 13450 Sw 97th Ct, Miami, FL 33176-6105 | 2020-08-30 |
| 1740890607 | Serenity Community Mental Healthcare, LLC | General Practice | 10300 Sw 72nd St Ste 250, Miami, FL 33173-3014 | 2020-08-05 |
| 1144841776 | Simplify Home Health Pllc | General Practice | 3301 Ne 1st Ave Apt 2906, Miami, FL 33137-4174 | 2020-05-05 |
| 1104447804 | Dr Jean Pierre LLC | General Practice | 5050 Biscayne Blvd, Miami, FL 33137-3203 | 2020-05-04 |
| 1891316105 | Jorge Luis Vega Morales | General Practice | 14760 Sw 66th St, Miami, FL 33193-2039 | 2020-04-28 |
| 1518587203 | Premium Healthcare Holdings, Lllp | General Practice | 2400 Sw 69th Ave, Miami, FL 33155-1706 | 2020-04-22 |
| 1770118416 | Guido A.perez, M.d., Inc. | General Practice | 701 Nw 57th Ave Ste 260, Miami, FL 33126-2083 | 2020-03-03 |
| Find all providers in MIAMI | ||||
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| 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.