MEDICARE: DR. RAFAEL J FERNANDEZ JR. MD FAAOS FACS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	ME72583	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME72583	OTHER	FL	LICENSE NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437149531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAFAEL J FERNANDEZ JR. MD FAAOS FACS

Provider Business Mailing Address
First Line	:	2916 S DOUGLAS RD STE 1
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-6928
Country	:	US
Telephone Number	:	786-837-8888
Fax Number	:	305-854-5887

Provider Business Practice Location Address
First Line	:	1797 CORAL WAY SW 22ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145
Country	:	US
Telephone Number	:	305-856-3592
Fax Number	:	305-854-5887

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	07/18/2023

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