MEDICARE: BERNARDO FERNANDEZ JR. M.D.

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	207RC0000X	Cardiovascular Disease Physician	ME0059551	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1275593832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BERNARDO FERNANDEZ JR. M.D.

Provider Business Mailing Address
First Line	:	1500 SAN REMO AVE
Second Line	:	SUITE 360
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-3043
Country	:	US
Telephone Number	:	786-527-9205
Fax Number	:	786-533-9678

Provider Business Practice Location Address
First Line	:	1500 SAN REMO AVE
Second Line	:	SUITE 360
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-3043
Country	:	US
Telephone Number	:	786-527-9205
Fax Number	:	786-533-9678

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

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	09/08/2014

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Directions to “ BERNARDO FERNANDEZ JR. M.D.” Practice Location

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