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NPI Code Detail

MEDICARE: RAUL ALEJANDRO FERNANDEZ D.O.

MEDICARE: RAUL ALEJANDRO FERNANDEZ D.O.
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 PhysicianOS15902FL
2207RP1001XPulmonary Disease PhysicianOS15902FL
3207RC0200XCritical Care Medicine (Internal Medicine) PhysicianOS15902FL

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 : 1699214411
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAUL ALEJANDRO FERNANDEZ D.O.
Provider Business Mailing Address
First Line : 2639 W 72ND ST
Second Line :
City : HIALEAH
State : FL
Zip : 33016-5438
Country : US
Telephone Number : 305-335-0041
Fax Number :
Provider Business Practice Location Address
First Line : 1100 NW 95TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33150-2038
Country : US
Telephone Number : 305-928-7249
Fax Number : 305-630-3632
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2017
Last Update Date : 06/03/2024

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Directions to “ RAUL ALEJANDRO FERNANDEZ D.O.” Practice Location

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