Individual
DR. ROBERTO A. FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2885SW3RD AVE 300-400, MIAMI, FL 33129-2324
(786) 717-7509
(786) 717-7529
Mailing address
2885SW3RD AVE 300-400, MIAMI, FL 33129-2324
(786) 717-7509
(786) 717-7529
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
16642
PR
208D00000X
General Practice Physician
Primary
ACN 259
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16642
MEDICAL DOCTOR
PR
01
—
ACN 259
MEDICAL LICENSE
FL
Enumeration date
04/10/2007
Last updated
09/29/2015
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