| Heriberto Fernandez Md Pa | |
|
777 E 25th St Ste 509 Hialeah FL 33013-3834 | |
| (305) 420-5016 | |
| (786) 452-9901 |
| Full Name | Heriberto Fernandez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 777 E 25th St Ste 509, Hialeah, Florida |
| Authorized Official Name and Position | Heriberto Fernandez (PRESIDENT) |
| Authorized Official Contact | 3054205016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heriberto Fernandez Md Pa 777 E 25th St Ste 509 Hialeah FL 33013-3834 Ph: (305) 420-5016 | Heriberto Fernandez Md Pa 777 E 25th St Ste 509 Hialeah FL 33013-3834 Ph: (305) 420-5016 |
| NPI Number | 1669727848 |
|---|---|
| Provider Enumeration Date | 07/13/2012 |
| Last Update Date | 10/13/2023 |
| Medicare PECOS PAC ID | 6406099449 |
|---|---|
| Medicare Enrollment ID | O20130823000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669727848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Heriberto Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598087520 PECOS PAC ID: 0143480020 Enrollment ID: I20120330000230 |
| Provider Name | Ileana Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073179693 PECOS PAC ID: 2567838501 Enrollment ID: I20221017002675 |
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