| Carmen C Fernandez Md Pa | |
|
6419 Sw Bird Road Miami FL 33155 | |
| (305) 569-0002 | |
| (305) 569-0005 |
| Full Name | Carmen C Fernandez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6419 Sw Bird Road, Miami, Florida |
| Authorized Official Name and Position | Carmen C Fernandez (DR) |
| Authorized Official Contact | 3055690002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carmen C Fernandez Md Pa Po Box 830848 Miami FL 33283-0848 Ph: (305) 569-0002 | Carmen C Fernandez Md Pa 6419 Sw Bird Road Miami FL 33155 Ph: (305) 569-0002 |
| NPI Number | 1740445626 |
|---|---|
| Provider Enumeration Date | 07/21/2008 |
| Last Update Date | 08/11/2010 |
| Medicare PECOS PAC ID | 3870659451 |
|---|---|
| Medicare Enrollment ID | O20090305000660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740445626 | NPI | - | NPPES |
| 047928400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Carmen C Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457319881 PECOS PAC ID: 7618033291 Enrollment ID: I20090305000645 |
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