MEDICARE: JOSE ALBERTO FERNANDEZ CHAVEZ MD

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	207R00000X	Internal Medicine Physician	15819	PR
2	207RH0003X	Hematology & Oncology Physician	15819	PR
3	207RH0003X	Hematology & Oncology Physician	ME96227	FL

General Provider Information

NPI Number	:	1972595668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE ALBERTO FERNANDEZ CHAVEZ MD

Provider Business Mailing Address
First Line	:	5996 SW 70TH ST FL 5
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-3540
Country	:	US
Telephone Number	:	305-284-7577
Fax Number	:	305-284-7688

Provider Business Practice Location Address
First Line	:	7029 SW 61ST AVE
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-3420
Country	:	US
Telephone Number	:	786-456-8399
Fax Number	:	786-456-8390

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

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	02/09/2023

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Directions to “ JOSE ALBERTO FERNANDEZ CHAVEZ MD” Practice Location

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