Rafael Ramon Fernandez, MD, APRN
Nurse Practitioner, Psych/Mental Health (MD, APRN) with L.S.L Medical Center, Inc and 1 other group, practicing in Doral, Florida. Their prescriptions cost Medicare Part D more than their services did: $83,157 for 2,334 claims, against $9,964 paid for services in 2024. Alkermes, Inc. was the largest of 2 companies reporting payments in 2025, $446.33 in all, mostly food and beverage. Lists Keralty Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1073197794 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD, APRN |
| Sole proprietor | Yes |
| NPI issued | May 9, 2021 |
| Last updated in NPPES | Dec 9, 2021 |
| Certified by provider | Oct 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | APRN11012992 | FL |
| Family Medicine | 207Q00000X | NJDCATEMP041658 | NJ |
| Family Medicine | 207Q00000X | HSE24274 | FL |
| Family Medicine | 207Q00000X | CV2102936 | IN |
| Nurse Practitioner, Family | 363LF0000X | APRN11012992 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 56 |
|---|---|
| Services billed | 123 across 7 procedure codes |
| Paid by Medicare | $9,964 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,334 · 2,433 30-day fills |
|---|---|
| Patients | 141 |
| Total drug cost | $83,157 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- L.S.L Medical Center, IncCoral Gables, FL · 5 clinicians
- Carmen Espinosa - Perez MD, Inc.Miami, FL · 3 clinicians
Hospital affiliations
- Keralty HospitalMiami, FL
- Larkin Community HospitalSouth Miami, FL
Industry payments (Open Payments)
- 2025$446.33 · 7 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alkermes, Inc. | $235.37 | 2 |
| Otsuka America Pharmaceutical, Inc. | $210.96 | 5 |
What the 2025 payments were for
- Food and Beverage$446.33 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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