| Fernandez Care And Podiatry Services Inc | |
|
3750 W 16th Ave Ste 138u Hialeah FL 33012-4661 | |
| (786) 449-8559 | |
| (305) 640-5774 |
| Full Name | Fernandez Care And Podiatry Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3750 W 16th Ave Ste 138u, Hialeah, Florida |
| Authorized Official Name and Position | Diamelys Fernandez (OWNER) |
| Authorized Official Contact | 7864498559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fernandez Care And Podiatry Services Inc 3750 W 16th Ave Ste 138u Hialeah FL 33012-4661 Ph: (786) 449-8559 | Fernandez Care And Podiatry Services Inc 3750 W 16th Ave Ste 138u Hialeah FL 33012-4661 Ph: (786) 449-8559 |
| NPI Number | 1962930271 |
|---|---|
| Provider Enumeration Date | 05/31/2017 |
| Last Update Date | 12/04/2023 |
| Medicare PECOS PAC ID | 6800158148 |
|---|---|
| Medicare Enrollment ID | O20180326000730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962930271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Florida) | Primary |
| Provider Name | Roy L Cueto |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700844008 PECOS PAC ID: 1456321405 Enrollment ID: I20040729000147 |
| Provider Name | Flavia A Inesta |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760456420 PECOS PAC ID: 3173592128 Enrollment ID: I20040928000175 |
| Provider Name | Gary Goykhman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588663470 PECOS PAC ID: 4082633318 Enrollment ID: I20051116000547 |
| Provider Name | Victor Verjano |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205928231 PECOS PAC ID: 5991863110 Enrollment ID: I20081016000428 |
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