| Noel De Jesus Fernandez Md Pa | |
|
1975 W 76th St Hialeah FL 33014-3269 | |
| (786) 703-1535 | |
| (305) 397-2725 |
| Full Name | Noel De Jesus Fernandez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1975 W 76th St, Hialeah, Florida |
| Authorized Official Name and Position | Noel De Jesus Fernandez (MD) |
| Authorized Official Contact | 9544432691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Noel De Jesus Fernandez Md Pa 1975 W 76th St Hialeah FL 33014-3269 Ph: (786) 703-1535 | Noel De Jesus Fernandez Md Pa 1975 W 76th St Hialeah FL 33014-3269 Ph: (786) 703-1535 |
| NPI Number | 1629455233 |
|---|---|
| Provider Enumeration Date | 05/04/2015 |
| Last Update Date | 09/12/2019 |
| Medicare PECOS PAC ID | 6204145303 |
|---|---|
| Medicare Enrollment ID | O20151012000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629455233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME89477 (Florida) | Primary |
| Provider Name | Noel J. Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972656247 PECOS PAC ID: 0143133637 Enrollment ID: I20041209000359 |
| Provider Name | Juan Carlos Santana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083881353 PECOS PAC ID: 7214005149 Enrollment ID: I20081006000401 |
| Provider Name | Idania Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114583218 PECOS PAC ID: 9436483971 Enrollment ID: I20190703000037 |
| Provider Name | Lazaro Sanchez Olazabal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912455189 PECOS PAC ID: 9537565882 Enrollment ID: I20210910002897 |
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