Jorge L Hernandez MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JORGE L HERNANDEZ MD PA

Practice address

250 2ND St E
Suite 3B
Bradenton, FL 34208-1029

Phone

(941) 746-4151

Fax

(941) 746-4345

NPI assigned

Apr 19, 2006

Last updated

May 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jorge L. Hernandez, M.D.NPI 1932192325

Title

Owner

Phone

(941) 746-4151

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorge L. Hernandez, M.D.

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1932192325
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1063477420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 2ND ST E",
            "address_2": "SUITE 3B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081029",
            "telephone_number": "941-746-4151",
            "fax_number": "941-746-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 2ND ST E",
            "address_2": "SUITE 3B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081029",
            "telephone_number": "941-746-4151",
            "fax_number": "941-746-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE L HERNANDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-746-4151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RR",
            "identifier": "DB6894",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Jordan, LMHC
• Jasmin B Jordan, MD
• Julia Jordan
• Lisa Dawn Jordan
• Jorge E. Alvarez, MD, PA (OBGYN Womens Centre)
• Jose F Estigarribia MD Fics PA
• Jose F Polanco MD PA
• Joseph Storehouse of Florida Restoration Center (Consuming Fire Deliverance inc)
• Joseph TM Placheril
• Sanjeev Joseph, MSPT

• Internal Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.