DR. JACQUELINE FERNANDEZ


Address: 11510 Quail Roost Dr, Miami, FL 33157-6548
Phone: 3052563056

DR. JACQUELINE FERNANDEZ (NPI# 1952441040) 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) 1952441040
Entity Type Individual
Full Name DR. JACQUELINE FERNANDEZ
Credential M.D.
Practice Address 11510 Quail Roost Dr
Miami
FL 33157-6548
Practice Telephone 3052563056
Practice Fax Number 3052563066
Mailing Telephone 3052563056
Mailing Fax Number 3052563066
Enumeration Date 2007-02-07
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center ME80843 FL Ambulatory Health Care Facilities

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Office Location

Street Address 11510 QUAIL ROOST DR
City MIAMI
State FL
Zip Code 33157-6548

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Competitor

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City MIAMI
Zip Code 33157

Improve Information

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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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