Jose Luis Hernandez Jr., D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11613 Issued in FL

Practice address

4068 Forest Hill Blvd
Suite 6
Palm Springs, FL 33406-5730

Phone

(561) 966-6404

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• My Dental Smile Inc

  • General Practice Dentistry
  • Palm Springs, FL
  • NPI 1164197745
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1023180346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4068 FOREST HILL BLVD",
            "address_2": "SUITE 6",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065730",
            "telephone_number": "561-966-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4068 FOREST HILL BLVD",
            "address_2": "SUITE 6",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065730",
            "telephone_number": "561-966-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "11613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alain Hernandez Corrales
• Yessica B Hernandez Pupo
• Suneibys Hernandez Sanchez
• Dayami Hernandez Santana
• Daimee Hernandez
• Laura Yisel Herrera Fuentes
• Katia M. Hildebert, LMHC
• Matthew Frederick Hirsch, PT
• Jack Jacob Hirschfeld, D.D.S.
• Harrison Gordon Hodgman, D.D.S.

• General Practice Dentistry in Palm Springs, FL
• Providers in Palm Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.