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General NPI Number Information
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NPI Number | 1972595668
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Entity Type | Individual
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Provider Name | JOSE ALBERTO FERNANDEZ CHAVEZ MD
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Gender | Male
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 7029 SW 61ST AVE
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3420
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Country | US
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Telephone | 786-456-8399
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Fax | 786-456-8390
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Provider Business Mailing Address
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Address Line | 5996 SW 70TH ST FL 5
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3540
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Country | US
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Telephone | 305-284-7577
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Fax | 305-284-7688
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 15819
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 15819
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME96227
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License Number State | FL
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