Healthcare Provider Details

I. General information

NPI: 1417368754
Provider Name (Legal Business Name): XIOMARA FERNANDEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2014
Last Update Date: 06/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 L ST NW STE 200
WASHINGTON DC
20037-1554
US

IV. Provider business mailing address

2120 L ST NW STE 200
WASHINGTON DC
20037-1554
US

V. Phone/Fax

Practice location:
  • Phone: 202-677-6600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License NumberMD047282
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: