| Doctor Name: | MR. ALFREDO J FERNANDEZ |
| NPI Number: | 1912252107 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 18,491 |
| Business Practice Address: | 4600 N Habana Ave Suite #20 Tampa, FL - 33614 |
| Business Phone Number: | 8138874521 |
| Business Fax Number: | 3056755753 |
| Mailing Address: | 4600 N Habana Ave, Suite #20 TAMPA |
| State: | FL |
| Postal Code: | 33614 |
| Phone Number: | 8138874521 |
| Fax Number: | 3056755753 |
| NPI Enumeration Date: | 07/13/2012 |
| NPI Last Update Date: | 04/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 18,491 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |