Joaquin Hernandez, M.D.

Primary specialty

VA Clinic/CenterTaxonomy code 261QV0200X

License

12851 Issued in PR

Practice address

1955 U,S,1
Saint Augustine, FL 32086

Phone

(904) 494-2841

Fax

(904) 829-6174

NPI assigned

Dec 15, 2006

Last updated

May 12, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1144382110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SAPORA CIR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320924518",
            "telephone_number": "904-476-1241",
            "fax_number": "904-476-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 U,S,1",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-494-2841",
            "fax_number": "904-829-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JOAQUIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "PR",
            "license": "12851",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "PR",
            "license": "12851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urszula Herbert, PA-C
• Heritage Home Healthcare, LLC
• Marylin Hernandez Figueroa
• Gabriella Hernandez, RBT
• Gavin Hernandez
• Abla Herzalla
• Kathryn Ruth Hessi, M.S. CCC-SLP
• Cameron Heustis
• Maryann Hickey, RN, APN
• Samantha Jayne Hickey, LMHC

• VA Clinic/Center in St Augustine, FL
• Providers in St Augustine, FL by specialty
• VA Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.