| Juan A Fernandez Md Pa | |
|
5040 Nw 7th St Suite 370 Miami FL 33126-3422 | |
| (305) 648-1087 | |
| (305) 648-1088 |
| Full Name | Juan A Fernandez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 5040 Nw 7th St, Miami, Florida |
| Authorized Official Name and Position | Juan A Fernandez (PRESIDENT) |
| Authorized Official Contact | 3056481087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan A Fernandez Md Pa Po Box 142201 Coral Gables FL 33114-2201 Ph: (305) 648-1087 | Juan A Fernandez Md Pa 5040 Nw 7th St Suite 370 Miami FL 33126-3422 Ph: (305) 648-1087 |
| NPI Number | 1164441713 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 02/17/2016 |
| Medicare PECOS PAC ID | 2163422726 |
|---|---|
| Medicare Enrollment ID | O20070104000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164441713 | NPI | - | NPPES |
| Q0414 | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME68513 (Florida) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | ME68513 (Florida) | Primary |
| Provider Name | Juan A Fernandez |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568481620 PECOS PAC ID: 9032119698 Enrollment ID: I20070104000184 |
| Provider Name | Kirenia Segura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295233187 PECOS PAC ID: 7911257225 Enrollment ID: I20180907001127 |
| Provider Name | Abraham Ramos |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962846758 PECOS PAC ID: 5294071908 Enrollment ID: I20190116002069 |
| Provider Name | Ricardo Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033735790 PECOS PAC ID: 2961673504 Enrollment ID: I20200714001594 |
| Provider Name | Ricardo Saez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891337119 PECOS PAC ID: 5698138212 Enrollment ID: I20230830001964 |
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