Individual provider Active NPI

Hernan R Baquerizo, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Miami, FL
National Provider Identifier
1053378893
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME-41627 Issued in FL
Practice address
3661 S Miami Ave
# 505
Miami, FL 33133-4200
Phone
(305) 859-9837
Fax
(305) 859-9840
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME-41627 FL Primary

Addresses

Primary practice location

3661 S Miami Ave
# 505
Miami, FL 33133-4200

Mailing address

3661 S Miami Ave
# 505
Miami, FL 33133-4200
Phone (305) 859-9837

Other identifiers 2

IdentifierTypeStateIssuer
ME-41627OtherFLMEDICAL LICENSE
2632209-00MedicaidFL

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
I20040209000222 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 0547153934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3661 S Miami Ave
Suite 505
Miami, FL 33133-4200
Phone (305) 859-9837

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.44 of 100Reported as individual
Quality
76.87
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME-41627FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hernan R Baquerizo MD PA CurrentSince Feb 4, 2004 Accepting new patients

Locations

3661 S Miami Ave
Ste 505
Miami, FL 33133
Phone (305) 854-8112

Organizations & group practices 1

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

Hospital & facility affiliations 2

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1053378893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "# 505",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334200",
            "telephone_number": "305-859-9837",
            "fax_number": "305-859-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "# 505",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334200",
            "telephone_number": "305-859-9837",
            "fax_number": "305-859-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAQUERIZO",
        "first_name": "HERNAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME-41627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME-41627",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2632209-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.