Look up the most recent NPI and PECOS records

Itzel Fernandez

Internal Medicine

Allopathic & Osteopathic Physicians

(305) 243-1959

PECOS Enrollment

Based on the most recent information from CMS, provider Itzel 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1447505334
Provider Type
Individual
Full Name
Fernandez, Itzel
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
7/17/2012
Last Updated
7/1/2015

Contact Information

Practice Location

1400 NW 12th Ave, Miami, FL 33136-1003

(305) 243-1959

Unlisted Fax

Mailing Location

1400 NW 12th Ave, Miami, FL 33136-1003

(305) 243-1959

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME123072 Florida
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Itzel Fernandez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Ghali, Sherin

Cusimano, Frank Anthony

Porter, Kadijah Falah

Milanes, Hermes

Gummalla, Raja Ramesh

Sarwar, Usman

Bowen, Mikayla

Shahar, Keren

Urrea, Bruno

Noy, Jose