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MARIO SERGIO BLONDIN FERNANDEZ
NPI 1972234243
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since June 18, 2022PECOS Enrolled
4455 SW 34TH ST APT X126, GAINESVILLE, FL 32608(786) 759-3645 Get Directions Write a Review

NPPES record last updated: June 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mario Sergio Blondin Fernandez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIO SERGIO BLONDIN FERNANDEZ (NPI 1972234243) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972234243
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARIO SERGIO BLONDIN FERNANDEZ
Location Address4455 SW 34TH ST APT X126Gainesville, FL 32608-6550
Mailing Address4455 Sw 34th St Apt X126Gainesville, FL 32608-6550 · (786) 759-3645
Phone(786) 759-3645
Sole ProprietorNo
Enumeration DateJune 18, 2022
NPPES CertifiedJune 18, 2022
✔ NPI 1972234243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4455 SW 34TH ST APT X126, Gainesville, FL 32608
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mario Sergio Blondin Fernandez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Blondin Fernandez's NPI number?

The NPI number for Mario Blondin Fernandez is 1972234243. It was assigned to this individual provider in the NPPES registry on June 18, 2022.

Where is Mario Blondin Fernandez located?

Mario Blondin Fernandez practices at 4455 SW 34th St Apt X126, Gainesville, FL 32608. The listed phone number is (786) 759-3645.

What is Mario Blondin Fernandez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mario Blondin Fernandez enrolled in Medicare?

Yes. Mario Blondin Fernandez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mario Blondin Fernandez was last updated on June 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.