Individual provider Active NPI

Enrique Hernandez-Sanchez, M.D.

  • Pediatric Gastroenterology Physician
  • Boca Raton, FL
National Provider Identifier
1285631846
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
ME89234 Issued in FL
Practice address
9980 Central Park Blvd N
Ste 316
Boca Raton, FL 33428-1704
Phone
(561) 206-6064
Fax
(561) 206-6032
NPI assigned
Jun 28, 2005
Last updated
Mar 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X ME89234 FL Primary

Addresses

Primary practice location

9980 Central Park Blvd N
Ste 316
Boca Raton, FL 33428-1704

Mailing address

9980 Central Park Blvd N
Ste 316
Boca Raton, FL 33428-1704
Phone (561) 206-6064

Other identifiers 1

IdentifierTypeStateIssuer
ME89234OtherFLMEDICAL LICENSE

Other names 1

  • Enrique Hernandez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140731000162 FL Practitioner - Pediatric Medicine 8123021540 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health, LLC CurrentSince May 18, 2014 Accepting new patients
Gastro Health LLC Pediatric Gastroenterology CurrentSince May 18, 2014 Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients

Locations

9980 Central Park Blvd N
Ste 316
Boca Raton, FL 33428
Phone (561) 206-6064

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

1157 S State Road 7
Wellington, FL 33414
Phone (561) 214-6094

Interoperability endpoints

  • Direct secure messaging: enrique.hernandezsanchez@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1285631846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N",
            "address_2": "STE 316",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281704",
            "telephone_number": "561-206-6064",
            "fax_number": "561-206-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N",
            "address_2": "STE 316",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281704",
            "telephone_number": "561-206-6064",
            "fax_number": "561-206-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-SANCHEZ",
        "first_name": "ENRIQUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "FL",
            "license": "ME89234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME89234",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ENRIQUE",
            "last_name": "HERNANDEZ",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.