Male or Other

Dr. Jorge E. Fernandez MD

General Practice Physician in Miami, FL(View on Map)

Full Name

Dr. Jorge Enrique Fernandez MD

NPI Number

1649557059

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/14/2011

Specialties

(Taxonomies)

Code

208D00000X

Primary Taxonomy

Yes

Licenses

State

Florida
Florida
Puerto Rico

License Number

ME163130
ACN - 752
020989

Contact
Information

Purpose

Mailing
Location

Address

16325 NW 78TH AVE
11420 N KENDALL DR STE 110

City

Miami Lakes
Miami

State

FL
FL

Postal Code

33016-8410
33176-1039

Country

US
US

Telephone Number

(786) 218-0068
(786) 353-2536

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/23/2024

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