| Roberto J Fernandez Md Pa | |
|
135 W 49th St Hialeah FL 33012-3711 | |
| (305) 822-1590 | |
| (305) 826-3177 |
| Full Name | Roberto J Fernandez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 135 W 49th St, Hialeah, Florida |
| Authorized Official Name and Position | Roberto Fernandez (PRESIDENT) |
| Authorized Official Contact | 3058221590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roberto J Fernandez Md Pa Po Box 127008 Hialeah FL 33012-1617 Ph: (305) 822-1590 | Roberto J Fernandez Md Pa 135 W 49th St Hialeah FL 33012-3711 Ph: (305) 822-1590 |
| NPI Number | 1508152968 |
|---|---|
| Provider Enumeration Date | 06/23/2011 |
| Last Update Date | 06/23/2011 |
| Medicare PECOS PAC ID | 2264604834 |
|---|---|
| Medicare Enrollment ID | O20111004000873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508152968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME43363 (Florida) | Primary |
| Provider Name | Roberto J Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275597692 PECOS PAC ID: 0345254520 Enrollment ID: I20111215000155 |
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