NPIMap

Organization Active NPI

Liliam Hernandez DMD PA

  • Dental Clinic/Center
  • Pembroke Pines, FL
National Provider Identifier
1063879641
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
21643 Issued in FL
Legal business name
LILIAM HERNANDEZ DMD PA
Practice address
18253 SW 5TH St
Pembroke Pines, FL 33029-4310
Phone
(786) 378-9988
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Dr. Liliam Hernandez, DMDNPI 1538521778
Title
President
Phone
(786) 378-9988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 21643 FL Primary

Addresses

Primary practice location

18253 SW 5TH St
Pembroke Pines, FL 33029-4310

Mailing address

18253 SW 5TH St
Pembroke Pines, FL 33029-4310

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1063879641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18253 SW 5TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330294310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18253 SW 5TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330294310",
            "telephone_number": "786-378-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILIAM HERNANDEZ DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LILIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-378-9988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "21643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.