Provider Demographics
NPI:1073928974
Name:FERNANDEZ, HUGO ALEJANDRO (DPM)
Entity Type:Individual
Prefix:DR
First Name:HUGO
Middle Name:ALEJANDRO
Last Name:FERNANDEZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 SW 107TH AVE STE 301E
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2553
Mailing Address - Country:US
Mailing Address - Phone:305-480-2045
Mailing Address - Fax:305-480-2046
Practice Address - Street 1:1401 SW 107TH AVE STE 301E
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2553
Practice Address - Country:US
Practice Address - Phone:305-480-2045
Practice Address - Fax:305-480-2046
Is Sole Proprietor?:No
Enumeration Date:2014-06-30
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3778213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPR393OtherRESIDENT ID