Individual provider Active NPI

Michel Hernandez Hernandez, APRN

  • Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1134727621
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11009714 Issued in FL
Practice address
747 Ponce de Leon Blvd
Coral Gables, FL 33134-2049
Phone
(305) 529-9901
Fax
(713) 359-9540
NPI assigned
Oct 15, 2020
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11009714 FL Primary

Addresses

Primary practice location

747 Ponce de Leon Blvd
Coral Gables, FL 33134-2049

Mailing address

9545 SW 24TH St Apt B311
Miami, FL 33165-8054
Phone (786) 306-9137

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210524001415 FL Practitioner - Nurse Practitioner 9335548395 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11009714FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Machado Cardio Diagnostics Inc CurrentSince Mar 17, 2024 Accepting new patients
Metropolitan Cardiology LLC Past Accepting new patients

Locations

747 Ponce de Leon Blvd
Ste 503
Coral Gables, FL 33134

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": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1134727621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9545 SW 24TH ST APT B311",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331658054",
            "telephone_number": "786-306-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342049",
            "telephone_number": "305-529-9901",
            "fax_number": "713-359-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ HERNANDEZ",
        "first_name": "MICHEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11009714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.