Anthony Enrique Hernandez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9116684 Issued in FL

Practice address

2040 Washington St
Hollywood, FL 33020-6930

Phone

(754) 348-5001

Fax

(754) 799-1272

NPI assigned

Jan 20, 2023

Last updated

Mar 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Health Associates, LLC

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1164041711
  Medicare reassignment
• Physicians of Hollywood LLC

  • Clinic/Center
  • Hollywood, FL
  • NPI 1144856626
  Medicare reassignment

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679184000000",
    "number": "1033824388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 E 19TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330134132",
            "telephone_number": "786-718-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 WASHINGTON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206930",
            "telephone_number": "754-348-5001",
            "fax_number": "754-799-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANTHONY",
        "middle_name": "ENRIQUE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-03-19",
        "certification_date": "2023-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Porta Hernandez
• Ana Rebecca Hernandez, BCBA
• Angel Shayanne Hernandez
• Anihara Hernandez, RPH
• Annette Hernandez
• Christine Hernandez, MS-CFSLP
• Claudia Hernandez, APRN
• Ermis Hernandez
• Genesis Marie Hernandez, MA, CF-SLP
• Gina Hernandez, ARNP

• Physician Assistant in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2023; 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.