Active NPI
Dr Oscar L Hernandez LLC
- Internal Medicine Physician
- Miami, FL
National Provider Identifier
1083699490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME57645
- Legal business name
- DR OSCAR L HERNANDEZ LLC
- Practice address
- 14221 SW 120TH St
Ste 129
Miami, FL 33186 - Phone
- (305) 279-1515
- Fax
- (305) 279-1219
- NPI assigned
- Dec 8, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Oscar L Hernandez Sr., MD
- Title
- President/Owner
- Phone
- (305) 279-1515
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME57645 | FL | Primary |
| Pediatrics Physician | 208000000X | ME57645 | FL |
Addresses
Primary practice location
14221 SW 120TH St
Ste 129
Miami, FL 33186
Mailing address
14221 SW 120TH St
Ste 129
Miami, FL 33186
Phone (305) 279-1515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063586300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
27501 S Dixie Hwy
Ste 300
Naranja, FL 33032
Phone (305) 245-7733
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Non-Pharmacy Dispensing Site
- Miami, FL
- NPI 1659718864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343692800000",
"number": "1083699490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14221 SW 120TH ST",
"address_2": "STE 129",
"city": "MIAMI",
"state": "FL",
"postal_code": "33186",
"telephone_number": "305-279-1515",
"fax_number": "305-279-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14221 SW 120TH ST",
"address_2": "STE 129",
"city": "MIAMI",
"state": "FL",
"postal_code": "33186",
"telephone_number": "305-279-1515",
"fax_number": "305-279-1219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR OSCAR L HERNANDEZ LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-08",
"last_updated": "2012-07-31",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "OSCAR",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "305-279-1515",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME57645",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME57645",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063586300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.