Dr Alexander Fernando San Diego Jr, DPM | |
2404 N Courtenay Pkwy, Merritt Island, FL 32953-4191 | |
(321) 452-1327 | |
(321) 454-9208 |
Full Name | Dr Alexander Fernando San Diego Jr |
---|---|
Gender | Male |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 2404 N Courtenay Pkwy, Merritt Island, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053678052 | NPI | - | NPPES |
1053678052 | Other | NPI | |
13574563 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO3686 (Florida) | Primary |
Provider Name | Merritt Island Foot & Ankle Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427236199 PECOS PAC ID: 6800044512 Enrollment ID: O20120920000529 |
Provider Name | Asdj Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306457841 PECOS PAC ID: 5294147880 Enrollment ID: O20201228000429 |
Provider Name | Preferred Podiatry Group Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720037138 PECOS PAC ID: 3971412677 Enrollment ID: O20240515002295 |
Mailing Address | Practice Location Address |
---|---|
Dr Alexander Fernando San Diego Jr, DPM 2404 N Courtenay Pkwy, Merritt Island, FL 32953-4191 Ph: (321) 452-1327 | Dr Alexander Fernando San Diego Jr, DPM 2404 N Courtenay Pkwy, Merritt Island, FL 32953-4191 Ph: (321) 452-1327 |
Dr. Mark Beylin, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2404 N Courtenay Pkwy, Merritt Island, FL 32953 Phone: 321-452-1327 Fax: 321-454-9208 | |
Merritt Island Foot & Ankle Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 2404 N Courtenay Pkwy, Merritt Island, FL 32953 Phone: 321-452-1327 Fax: 321-454-9208 | |
Brevard Podiatry Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1205 N Courtenay Pkwy, Merritt Island, FL 32953 Phone: 321-452-5133 Fax: 321-449-8714 | |
Marie Claire Villanueva, Dpm, Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 125 E Merritt Island Cswy, Suite 209-310, Merritt Island, FL 32952 Phone: 321-480-7566 | |
Upperline Healthcare, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952 Phone: 321-268-2020 Fax: 321-676-9199 | |
Marie-claire D Villanueva, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 227 Sykes Loop Dr, Merritt Island, FL 32953 Phone: 321-213-0249 Fax: 866-590-7237 |