MEDICARE: DR. ROBERT A. J. FERNANDEZ D.O., M.P.H.

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	207Q00000X	Family Medicine Physician	4545	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	:	1710188891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT A. J. FERNANDEZ D.O., M.P.H.

Provider Business Mailing Address
First Line	:	ONE TELEMUNDO WAY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33182
Country	:	US
Telephone Number	:	786-713-2700
Fax Number	:	786-578-0081

Provider Business Practice Location Address
First Line	:	692 N HOMESTEAD BLVD STE 102
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33030-6236
Country	:	US
Telephone Number	:	786-243-5900
Fax Number	:

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

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	11/01/2023

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