Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mario Ivan Fernandez

Individual provider Physical Therapist · NPI 1437615333

Mario Ivan Fernandez is a Physical Therapist in Miami Lakes, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

5787A NW 151st St
Miami Lakes, FL 33014-2490
Phone: (305) 817-8799
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 26053 (FL)

Record details

NPI number1437615333
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 15, 2019
Last updated in NPPESFebruary 15, 2019

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