Individual
DR. RAFAEL RAMON FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, APRN
Contact information
Practice address
4834 NW 110TH PL, DORAL, FL 33178-4310
(786) 326-4240
Mailing address
4834 NW 110TH PL, DORAL, FL 33178-4310
(786) 326-4240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
CV2102936
IN
207Q00000X
Family Medicine Physician
HSE24274
FL
207Q00000X
Family Medicine Physician
NJDCATEMP041658
NJ
363LF0000X
Family Nurse Practitioner
APRN11012992
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11012992
FL
Other
Enumeration date
05/09/2021
Last updated
12/09/2021
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