Individual provider Active NPI

Ricardo Antonio Hernandez Jr., MD

  • General Practice Physician
  • Ormond Beach, FL
National Provider Identifier
1093350738
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1301 Issued in FL
Practice address
511 Stirling Bridge Dr
Ormond Beach, FL 32174-1525
Phone
(863) 837-9781
NPI assigned
Nov 15, 2019
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 021852 PR
General Practice Physician 208D00000X ACN1301 FL Primary

Addresses

Primary practice location

511 Stirling Bridge Dr
Ormond Beach, FL 32174-1525

Mailing address

511 Stirling Bridge Dr
Ormond Beach, FL 32174-1525

Other names 1

  • Dr. Ricardo A Hernandez Jr. Professional name

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
I20210617001195 FL Practitioner - General Practice 0749680437 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021852PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Primary Care, L.L.C General Practice CurrentSince Jun 9, 2021 Accepting new patients
Health First Primary Care L.L.C General Practice PastSince Sep 1, 2021 Accepting new patients
Port Orange Internists PA Family Medicine PastSince Sep 1, 2021 Accepting new patients

Locations

8000 SW 117th Ave
Ste 205
Miami, FL 33183
Phone (305) 273-9100

3890 Turtle Creek Dr
Ste C
Port Orange, FL 32127
Phone (386) 756-4400

208 W Dr Martin Luther King Jr Blvd
Tampa, FL 33603
Phone (813) 221-8131

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1093350738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 STIRLING BRIDGE DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 STIRLING BRIDGE DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741525",
            "telephone_number": "863-837-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "RICARDO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-15",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "021852",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICARDO",
            "last_name": "HERNANDEZ",
            "middle_name": "A",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.