Provider Demographics
NPI:1760583561
Name:FERNANDEZ-ABRIL, ARISTIDES FELIPE (MD)
Entity Type:Individual
Prefix:
First Name:ARISTIDES
Middle Name:FELIPE
Last Name:FERNANDEZ-ABRIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6312 LEONARDO ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3352
Mailing Address - Country:US
Mailing Address - Phone:305-666-9528
Mailing Address - Fax:305-662-7082
Practice Address - Street 1:6312 LEONARDO ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3352
Practice Address - Country:US
Practice Address - Phone:305-666-9528
Practice Address - Fax:305-662-7082
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME803412085R0202X, 2085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL263427900Medicaid
FL17036ZMedicare ID - Type Unspecified
H67084Medicare UPIN