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NPI Code Detail

MEDICARE: CARLOS ISDAY FERNANDEZ MARTINEZ NP

MEDICARE: CARLOS ISDAY FERNANDEZ MARTINEZ NP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11006432FL
2363LF0000XFamily Nurse PractitionerAPRN11006432FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588276356
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS ISDAY FERNANDEZ MARTINEZ NP
Provider Business Mailing Address
First Line : 13891 SW 154TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33196-6034
Country : US
Telephone Number : 305-746-7440
Fax Number :
Provider Business Practice Location Address
First Line : 881 E 2ND AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4205
Country : US
Telephone Number : 305-746-7440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2020
Last Update Date : 01/16/2026

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Directions to “ CARLOS ISDAY FERNANDEZ MARTINEZ NP” Practice Location

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