MEDICARE: ERIKA INFIESTA FERNANDEZ PA-C

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	363AM0700X	Medical Physician Assistant	9118580	FL

General Provider Information

NPI Number	:	1790539252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA INFIESTA FERNANDEZ PA-C

Provider Business Mailing Address
First Line	:	13110 N CALUSA CLUB DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-1703
Country	:	US
Telephone Number	:	786-395-5926
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 W FLAGLER ST STE 105
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33174-2428
Country	:	US
Telephone Number	:	305-380-9916
Fax Number	:

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

Provider Enumeration Date	:	04/12/2024
Last Update Date	:	03/11/2026

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Directions to “ ERIKA INFIESTA FERNANDEZ PA-C” Practice Location

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