Individual provider Active NPI

Marcos Antonio Hernandez Roman, M.D.

  • Nephrology Physician
  • Miami, FL
National Provider Identifier
1033489711
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME 124673 Issued in FL
Practice address
10989 SW 40TH St
Miami, FL 33165-4412
Phone
(786) 542-9937
Fax
(786) 542-9954
NPI assigned
Jan 11, 2012
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME 124673 FL Primary

Addresses

Primary practice location

10989 SW 40TH St
Miami, FL 33165-4412

Mailing address

4191 El Prado Blvd
Miami, FL 33133-6311
Phone (718) 902-5074

Other practice location 1

6741 SW 24th St Ste 50-51
Miami, FL 33155-1762
Phone (786) 269-9495

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161004002003 FL Practitioner - Nephrology 0143548503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11750 SW 40 St
Kendall Regional Medical Center
Miami, FL 33175-3530
Phone (305) 444-4200

2525 SW 75 Ave
West Gables Skilled Nursing Facility
Miami, FL 33155-2800
Phone (305) 444-4200

4191 El Prado Blvd
Miami, FL 33133-6311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 124673FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hernandez Roman Nephrology Corp Nephrology CurrentSince Jul 30, 2016 Accepting new patients
Empire Health Services Past Accepting new patients
Guibel Perera MD PA PastSince Mar 15, 2007 Accepting new patients

Locations

10710 SW 38th St
Miami, FL 33165
Phone (305) 392-1000

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1033489711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4191 EL PRADO BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331336311",
            "telephone_number": "718-902-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10989 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654412",
            "telephone_number": "786-542-9937",
            "fax_number": "786-542-9954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6741 SW 24th St Ste 50-51",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331551762",
            "country_code": "US",
            "telephone_number": "786-269-9495",
            "fax_number": "305-444-4529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ ROMAN",
        "first_name": "MARCOS",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-11",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME 124673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.