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NPI Code Detail

MEDICARE: DR. RICARDO FERNANDEZ M.D.

MEDICARE: DR. RICARDO FERNANDEZ 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
1207R00000XInternal Medicine PhysicianMD30375DC
2207R00000XInternal Medicine PhysicianD80848MD

Other Identifiers

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

General Provider Information

NPI Number : 1609913532
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICARDO FERNANDEZ M.D.
Provider Business Mailing Address
First Line : 3149 ADAMS MILL RD NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2611
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 901 HARRY S TRUMAN DR N
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-5477
Country : US
Telephone Number : 240-677-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 05/22/2024

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