Individual
DR. ROBERTO DE J FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
135 W 49 ST, HIALEAH, FL 33012
(305) 822-3657
(305) 826-3177
Mailing address
135 W 49TH ST, HIALEAH, FL 33012-3711
(305) 822-3657
(305) 826-3177
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0043363
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043775100
—
FL
Enumeration date
04/13/2006
Last updated
10/25/2011
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