| Dr Inti Fernandez, MD | |
|
9804 Sw 40th St, Miami, FL 33165-3912 | |
| (305) 222-9199 | |
| (305) 222-9155 |
| Full Name | Dr Inti Fernandez |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 9804 Sw 40th St, Miami, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659461101 | NPI | - | NPPES |
| 007660200 | Medicaid | FL | |
| AG060W | Other | FL | IND MCARE PROVIDER NUMBER |
| ME97323 | Other | FL | STATE LICENSE |
| AG020B | Other | FL | GROUP MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME 97323 (Florida) | Secondary |
| 208D00000X | General Practice | ME97323 (Florida) | Primary |
| Entity Name | Inti Fernandez Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831235043 PECOS PAC ID: 6204924665 Enrollment ID: O20071119000239 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Inti Fernandez, MD Po Box 347768, Coral Gables, FL 33234-7768 Ph: (305) 903-7142 | Dr Inti Fernandez, MD 9804 Sw 40th St, Miami, FL 33165-3912 Ph: (305) 222-9199 |
Lester Montoya, General Practice Medicare: Medicare Enrolled Practice Location: 1600 W Flagler St, Miami, FL 33135 Phone: 305-204-0333 Fax: 305-359-7546 | |
Pete Gutierrez, MD/PA General Practice Medicare: Medicare Enrolled Practice Location: 2015 Nw 1st Ave, Miami, FL 33127 Phone: 305-572-2026 Fax: 305-572-2025 | |
Dr. Jorge L Acosta, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 938-b Sw 82 Ave, Miami, FL 33144 Phone: 305-267-0074 Fax: 305-267-0655 | |
Dr. John S Hoyes, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 21150 Biscayne Blvd, Suite 306, Miami, FL 33180 Phone: 305-933-4747 | |
Jesus B Menendez Rivera, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 2267 Sw 1st St, Miami, FL 33135 Phone: 305-337-2727 Fax: 305-337-2728 | |
Antonio Pino, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 13311 Sw 47th St, Miami, FL 33175 Phone: 305-360-8147 | |
Jorge Fernandez Novales, M.D General Practice Medicare: Medicare Enrolled Practice Location: 351 Nw 42nd Ave Ste 503, Miami, FL 33126 Phone: 305-444-1244 |