DR. OSVALDO ANTONIO FERNANDEZ DOMINGUEZ (NPI# 1821310632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821310632 |
| Entity Type | Individual |
| Full Name | DR. OSVALDO ANTONIO FERNANDEZ DOMINGUEZ |
| Credential | M.D. |
| Practice Address |
1190 Nw 95th St Ste 203 Miami FL 33150-2064 |
| Mailing Address |
4175 W 20th Ave Hialeah FL 33012-5874 |
| Practice Telephone | 7862713592 |
| Practice Fax Number | 3056968845 |
| Mailing Telephone | 7862713592 |
| Mailing Fax Number | 3056968845 |
| Enumeration Date | 2010-02-20 |
| Last Update Date | 2011-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME106374 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002095400 | 05 |
| Street Address |
1190 NW 95TH ST STE 203 |
| City | MIAMI |
| State | FL |
| Zip Code | 33150-2064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043713787 | Fchc | Internal Medicine | 1190 Nw 95th St Ste 203, Miami, FL 33150-2064 | 2018-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1841714052 | Rebecca Marie-danielle Anozier | Registered Nurse | 479 Nw 83rd St, Miami, FL 33150 | 2017-07-29 |
| 1972023976 | Charlotte Jenies | Behavior Technician | 1080 Nw 85 Th St, Miami, FL 33150 | 2017-06-21 |
| 1528501293 | Aneisha Samuels | Counselor | 291 Nw 104 Street, Miami Shores, FL 33150 | 2016-11-29 |
| 1568824977 | Francia Alexandre | Behavioral Analyst | 320 Nw 99th St, Miami, FL 33150 | 2016-03-24 |
| 1306201710 | Howard Lane | Counselor | 9198 Nw 8th Avenue, Miami, FL 33150 | 2015-12-30 |
| 1134598923 | Borinquen Health Care Center Inc | Clinic/Center | 1175 Nw 67 Street, Holmes Elementary, Miami, FL 33150 | 2015-09-22 |
| 1871988741 | Niveditha Bhaskarla | Psychiatry & Neurology | 1190 Nw 95th St Ste 110, Miami, FL 33150 | 2015-03-30 |
| 1821496852 | Affirming Youth Foundation, Inc. | Voluntary or Charitable | 150 Nw 79 Street, Suite 342, Miami, FL 33150 | 2014-12-08 |
| 1023440930 | Magda Demerritt | Social Worker | 7634 Nw 4th Ave, Miami, FL 33150 | 2013-08-01 |
| Find all providers in zip 33150 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386183580 | Dr2go, Inc | Psychiatry & Neurology | 8860 Sw 123rd Ct, Miami, FL 33186-4152 | 2017-02-21 |
| 1033490024 | Maria Elda Mendez-perez | Psychiatry & Neurology | 11715 Sw 18th St, # 307, Miami, FL 33175-1623 | 2011-09-02 |
| 1538141809 | Elda Lopez | Psychiatry & Neurology | 10631 N Kendall Dr, Suite 125, Miami, FL 33176-1568 | 2005-11-14 |
| 1720084494 | Myron Harasym | Psychiatry & Neurology | 10872 Sw 89th St, Miami, FL 33176-1364 | 2005-06-27 |
| 1174177554 | Miami Beach Mood and Adhd Therapies LLC | Psychiatry & Neurology | 5088 Nw 74th Ave, Miami, FL 33166-5551 | 2019-07-24 |
| 1417401357 | Pediatric Specialty Group, Inc. | Psychiatry & Neurology | 3100 Sw 62nd Ave, Division of Psychiatry- 2nd Floor, Miami, FL 33155-3009 | 2016-08-09 |
| 1821450743 | Shariful Syed | Psychiatry & Neurology | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2016-03-22 |
| 1508235359 | Gilbert A Smith | Psychiatry & Neurology | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2015-09-23 |
| 1386036945 | Autism Psychiatry, Incorporated | Psychiatry & Neurology | 9700 S Dixie Hwy, Suite 930, Miami, FL 33156-2800 | 2015-02-19 |
| 1568860419 | Mauricio Enrique Rodriguez | Psychiatry & Neurology | 5088 Nw 74th Ave, Miami, FL 33166-5551 | 2014-12-09 |
| 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.