Amalia Hernandez, N/A

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

H655-00-76-783-0 Issued in FL

Practice address

10550 W State Road 84 Lot 380
Davie, FL 33324-4230

Phone

(786) 488-0264

NPI assigned

Feb 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1205337623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 W STATE ROAD 84 LOT 380",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244230",
            "telephone_number": "786-488-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 W STATE ROAD 84 LOT 380",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244230",
            "telephone_number": "786-488-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "AMALIA",
        "credential": "N/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "H655-00-76-783-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PGQ167M89290",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosa Maria Hernandez Perez
• Alannis Paola Hernandez Rolon
• Eliam Jearim Hernandez Santos
• Iris Milagros Hernandez Tirado
• Julissa Hernandez-Martinez
• Anisley Hernandez
• Ashley Mary Hernandez
• Digna Hernandez
• Lisa Amarilys Hernandez, LMHC
• Lucinda Hernandez, LMHC

• Adult Medicine Physician in Davie, FL
• Providers in Davie, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.