Active NPI
Tatiana L Hernandez MD PA
- Primary Care Clinic/Center
- Trinity, FL
National Provider Identifier
1164601191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ME90671
- Legal business name
- TATIANA L HERNANDEZ MD PA
- Practice address
- 3633 Little Rd
Suite # 103
Trinity, FL 34655-1815 - Phone
- (727) 853-1800
- Fax
- (727) 853-1807
- NPI assigned
- Oct 26, 2007
- 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. Jose David Hernandez
- Title
- Office Manager
- Phone
- (727) 853-1800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | ME90671 | FL | Primary |
Addresses
Primary practice location
3633 Little Rd
Suite # 103
Trinity, FL 34655-1815
Mailing address
3633 Little Rd
Suite # 103
Trinity, FL 34655-1815
Phone (727) 853-1800
Other names 1
- Trinity Family HealthCare Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2155 Little Rd
Trinity, FL 34655
Phone (727) 853-1800
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Spring Hill, FL
- NPI 1144207606
-
- General Practice Physician
- Clearwater, FL
- NPI 1639382989
-
- Family Medicine Physician
- Trinity, FL
- NPI 1366535320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422316800000",
"number": "1164601191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3633 LITTLE RD",
"address_2": "SUITE # 103",
"city": "TRINITY",
"state": "FL",
"postal_code": "346551815",
"telephone_number": "727-853-1800",
"fax_number": "727-853-1807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3633 LITTLE RD",
"address_2": "SUITE # 103",
"city": "TRINITY",
"state": "FL",
"postal_code": "346551815",
"telephone_number": "727-853-1800",
"fax_number": "727-853-1807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TATIANA L HERNANDEZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-26",
"last_updated": "2015-01-27",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "727-853-1800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "ME90671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Trinity Family HealthCare Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.