Hernando Giraldo MD Inc
Organization Active NPI Adult Medicine Physician · Delray Beach, FL
NPI 1235323486 · NPPES record last updated Sep 20, 2023
Key facts
- NPI
- 1235323486
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Medicine Physician 207QA0505X
- Legal business name
- HERNANDO GIRALDO MD INC
- Practice address
- 4765 W Atlantic Ave
Delray Beach, FL 33445-3838 - Phone
- (561) 453-2273
- NPI assigned
- Aug 30, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- HERNANDO GIRALDO MD INC
Authorized official
- Name
- Victoria Samuelson
- Title
- Ceo
- Phone
- (561) 859-5052
Practitioners 25
-
Armando Curra, M.D.
-
Catherine Funes, PSYD LMHC
-
Stuart George Gold, PSY.D. & PH.D.
-
Diana Hincapie, PSYD
-
Jason Jimenez, PSYD
-
Marcela Kitaigorodsky, PSY.D. PHD
-
Daniel Martinez, PSY.D.
-
Michael Joachim McKenzie, M.D.
-
Marylou Paulo-Francisco, D.P.M.
-
Diana Carmona, ARNP
-
Kevin Ariel Lara, ARNP
-
Yaismara Sosa, APRN
-
Elena Cristina Sucre, MSN, ARNP, AGNP-C
-
Devorah Weiner, APRN FNP-BC
-
Marium Fatima Kazmi, D.O.
-
Adriana Monica Leis, PSYD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0688914 | Hernando Giraldo MD Inc | Certificate of waiver | Aug 31, 2026 |
| 10D2175076 | Delray Medical and Dental | Certificate of waiver | Nov 13, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080912000522 | FL | Part B Supplier - Clinic/Group Practice | 2062588171 |
Receives reassigned benefits from 22 practitioners Practice locations: Hallandale Beach, FL; Delray Beach, FL |
National Provider Directory
- Part of
- Hernando Giraldo MD PA
Locations
1250 E Hallandale Beach Blvd
Ste 205A
Hallandale Beach, FL 33009
1250 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 257-6414
1900 N Bayshore Dr
Ste 108
Miami, FL 33132
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician |
207QA0505X | Yes | ||
| 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
- Delray Medical & Dental
- Hallandale Medical Center
Other providers in Delray Beach, FL
- Zachary Herman
- Diana V Hermansen
- Balvina Hernandez Leonard
- Mayelin Hernandez Orta
- Marcela Hernandez
- Kyle David Hernden
- Herrera Optics
- Jenna Herrera
- Katelyne Marie Herstein
- Allison Rebecca Herzlich
All providers in Delray Beach, FL · Adult Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.