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Juan Calos Fernandez

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as JUAN FERNANDEZ.

Based on the most recent information from CMS, provider Juan Calos Fernandez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1336748904
Provider Type
Individual
Full Name
Fernandez, Juan Calos
Title
Dr.
Credential
ARNP-FMP-BC, MSN

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/23/2020
Last Updated
9/20/2024

Contact Information

Practice Location

16201 SW 95th Ave, Miami, FL 33157-3459

(305) 946-1605

(888) 720-2691

Mailing Location

860 NW 42nd Ave Fl 5, Miami, FL 33126-4172

(305) 504-7885

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11004273 Florida

Juan Calos Fernandez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Travieso Jorge, Dorisley

Suarez, Orlando

Urbina, Rebeca

Cobos, Diana Na

Perez Rodriguez, Octavio

Acosta, Yesenia

Rivera, Martha Isabel

Puga, Roberto

Mccane, Lorgia

Noa, Georgette