Individual
JUAN A FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5040 NW 7TH ST, SUITE 370, MIAMI, FL 33126-3422
(305) 648-1087
(305) 684-1088
Mailing address
PO BOX 142201, CORAL GABLES, FL 33114-2201
(305) 648-1087
(954) 943-2666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME68513
FL
207RN0300X
Nephrology Physician
Primary
ME68513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110143466
RAILROAD MEDICARE
FL
01
—
27196
BCBS
FL
05
—
378536000
—
FL
Enumeration date
07/19/2006
Last updated
02/17/2016
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