Organization Active NPI

Lizette S. Hernandez, M.D., P.a.

  • Allergy & Immunology (Internal Medicine) Physician
  • Tampa, FL
National Provider Identifier
1013186576
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
ME0064363 Issued in FL
Legal business name
LIZETTE S. HERNANDEZ, M.D., P.A.
Practice address
3709 W Hamilton Ave
Suite #1
Tampa, FL 33614-4015
Phone
(813) 933-4826
Fax
(813) 931-8595
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lizette Sonia Hernandez, M.D.
Title
President
Phone
(813) 933-4826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0201X ME0064363 FL Primary

Addresses

Primary practice location

3709 W Hamilton Ave
Suite #1
Tampa, FL 33614-4015

Mailing address

3709 W Hamilton Ave
Suite #1
Tampa, FL 33614-4015
Phone (813) 933-4826

National Provider Directory

National Provider Directory

Locations

3709 W Hamilton Ave
Ste 1
Tampa, FL 33614
Phone (813) 284-6439

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1013186576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 W HAMILTON AVE",
            "address_2": "SUITE #1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144015",
            "telephone_number": "813-933-4826",
            "fax_number": "813-931-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 W HAMILTON AVE",
            "address_2": "SUITE #1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144015",
            "telephone_number": "813-933-4826",
            "fax_number": "813-931-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZETTE S. HERNANDEZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LIZETTE",
        "authorized_official_middle_name": "SONIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-933-4826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "FL",
            "license": "ME0064363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.