Martha Hernandez-Illas PA

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

ME87694 Issued in FL

Legal business name

MARTHA HERNANDEZ-ILLAS PA

Practice address

4005 NW 114TH Ave
Suite 3
Doral, FL 33178-4374

Phone

(305) 251-3991

Fax

(305) 251-7982

NPI assigned

Oct 22, 2008

Last updated

Oct 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martha Hernandez-Illas

Title

Medical Doctor

Phone

(305) 251-3991

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1164674040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 NW 114TH AVE",
            "address_2": "SUITE 3",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784374",
            "telephone_number": "305-251-3991",
            "fax_number": "305-251-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 NW 114TH AVE",
            "address_2": "SUITE 3",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784374",
            "telephone_number": "305-251-3991",
            "fax_number": "305-251-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA HERNANDEZ-ILLAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ-ILLAS",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "305-251-3991"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME87694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julietta Marrero, LMHC
• Kealani Leah Marrero
• Liliana Marrero
• Olivia Maria Marrero
• Crystal Marte
• Gabriel Luis Marti
• Armando Martin Martinez, MSN, ARNP-FNP
• Rayme Martin Perez, APRN
• Martin S Florida Elder Care Inc (All-Dade Home Health Care)
• Anay Martin, BA

• Rheumatology Physician in Doral, FL
• Providers in Doral, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.