Organization Active NPI

Leonel J Hernandez,MD

  • Gastroenterology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1235594706
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME40895 Issued in NU
Legal business name
LEONEL J HERNANDEZ,MD
Practice address
1777 S Andrews Ave Ste 202
Ft Lauderdale, FL 33316-2517
Phone
(954) 764-3054
Fax
(954) 462-3286
NPI assigned
Dec 28, 2015
Last updated
Dec 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Leonel J Hernandez, MDNPI 1336138023
Title
Physician
Phone
(954) 764-3954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME40895 NU Primary

Addresses

Primary practice location

1777 S Andrews Ave Ste 202
Ft Lauderdale, FL 33316-2517

Mailing address

1777 S Andrews Ave Ste 202
Ft Lauderdale, FL 33316-2517
Phone (954) 764-3054

Other identifiers 1

IdentifierTypeStateIssuer
MHWYMOtherFLBLUE CROSS/BLUE SHIELD

Other names 1

  • leonel j hernandez-toledo, md Former legal business name

National Provider Directory

National Provider Directory

Locations

1777 S Andrews Ave
Ste 202
Ft Lauderdale, FL 33316
Phone (954) 764-3054

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1235594706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 S ANDREWS AVE STE 202",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162517",
            "telephone_number": "954-764-3054",
            "fax_number": "954-462-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S ANDREWS AVE STE 202",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162517",
            "telephone_number": "954-764-3054",
            "fax_number": "954-462-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONEL J HERNANDEZ,MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LEONEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-764-3954",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": "ME40895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "MHWYM",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "leonel j hernandez-toledo, md",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.