Provider Demographics
NPI:1750867214
Name:FERNANDEZ MEDICAL CARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:FERNANDEZ MEDICAL CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:FERNANDEZ PEDEMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-607-1839
Mailing Address - Street 1:PO BOX 310902
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33231-0902
Mailing Address - Country:US
Mailing Address - Phone:312-607-1839
Mailing Address - Fax:305-468-6364
Practice Address - Street 1:16100 NW 2ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-6504
Practice Address - Country:US
Practice Address - Phone:305-354-8800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty