Organization Active NPI

Hernando Giraldo MD Inc

Doing business as Delray Medical & Dental

  • Adult Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1235323486
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
HERNANDO GIRALDO MD INC
Doing business as
Delray Medical & Dental
Hallandale Medical Center
Practice address
4765 W Atlantic Ave
Delray Beach, FL 33445-3838
Phone
(561) 453-2273
NPI assigned
Aug 30, 2007
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HERNANDO GIRALDO MD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Victoria Samuelson
Title
Ceo
Phone
(561) 859-5052

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

4765 W Atlantic Ave
Delray Beach, FL 33445-3838

Mailing address

200 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5525
Phone (954) 362-8677

Other practice location 1

200 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5525
Phone (954) 362-8677

Other practice location 2

2029 N University Dr
Coral Springs, FL 33071-6132
Phone (954) 751-0000

Other names 2

  • Delray Medical & Dental Doing business as
  • Hallandale Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080912000522 FL Part B Supplier - Clinic/Group Practice 2062588171 Receives reassigned benefits from 22 practitioners
Practice locations: Hallandale Beach, FL; Delray Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0688914Hernando Giraldo MD Inc200 E Hallandale Beach Blvd, Hallandale, FL 33009Certificate of waiverAug 31, 2026
10D2175076Delray Medical and Dental4765 W Atlantic Avenue, Delray Beach, FL 33445Certificate of waiverNov 13, 2027

National Provider Directory

National Provider Directory
Part of
Hernando Giraldo MD PA

Locations

4765 W Atlantic Ave
Delray Beach, FL 33445
Phone (561) 453-2273

1250 E Hallandale Beach Blvd
Ste 205A
Hallandale Beach, FL 33009
Phone (954) 507-6634

1250 E Hallandale Beach Blvd
Ste 703
Hallandale Beach, FL 33009

4980 W 10th Ave
Ste 103
Hialeah, FL 33012
Phone (305) 557-8444

1900 N Bayshore Dr
Ste 108
Miami, FL 33132

601 N Flamingo Rd
Ste 213
Pembroke Pnes, FL 33028
Phone (954) 438-0446

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1235323486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095525",
            "telephone_number": "954-362-8677",
            "fax_number": "954-458-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 W ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453838",
            "telephone_number": "561-453-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Hallandale Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Hallandale Beach",
            "state": "FL",
            "postal_code": "330095525",
            "country_code": "US",
            "telephone_number": "954-362-8677",
            "fax_number": "954-458-8167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2029 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330716132",
            "country_code": "US",
            "telephone_number": "954-751-0000",
            "fax_number": "954-697-9516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HERNANDO GIRALDO MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERNANDO GIRALDO MD INC",
        "enumeration_date": "2007-08-30",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "SAMUELSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-859-5052"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delray Medical & Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delray Medical & Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hallandale Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.