Individual provider Active NPI

Rosemarie Goris-Hernandez, M.D.

  • Family Medicine Physician
  • Miramar, FL
National Provider Identifier
1306253240
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME119728 Issued in FL
Practice address
3161 SW 160TH Ave
Miramar, FL 33027-4214
Phone
(954) 450-4550
Fax
(954) 450-3557
NPI assigned
Jul 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME119728 FL Primary

Addresses

Primary practice location

3161 SW 160TH Ave
Miramar, FL 33027-4214

Mailing address

3161 SW 160TH Ave
Miramar, FL 33027-4214
Phone (954) 450-4550

Other practice location 1

8529 Pines Blvd
Pembroke Pines, FL 33024-6611
Phone (954) 704-3300

Other practice location 2

5961 NW 173rd Dr
Chen Medical Miami Lakes, Inc
Hialeah, FL 33015-5114
Phone (305) 556-7500

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
I20150507001143 FL Practitioner - Family Practice 5698094928 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nest Medical Center PAGroup PAC ID 2769995745, 2 clinicians

Practice addresses (Care Compare)

3161 SW 160TH Ave
Miramar, FL 33027-4214
Phone (954) 450-3550

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Domus Care Solutions CurrentSince Dec 1, 2023 Accepting new patients
Nest Medical Center PA CurrentSince Jun 1, 2025 Accepting new patients

Locations

3161 SW 160th Ave
Miramar, FL 33027
Phone (954) 450-3550

2200 N Commerce Pkwy
Ste 200
Weston, FL 33326
Phone (305) 898-9707

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHGACD

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1306253240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 SW 160TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274214",
            "telephone_number": "954-450-4550",
            "fax_number": "954-431-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 SW 160TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274214",
            "telephone_number": "954-450-4550",
            "fax_number": "954-450-3557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8529 Pines Blvd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330246611",
            "country_code": "US",
            "telephone_number": "954-704-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5961 NW 173rd Dr",
            "address_2": "Chen Medical Miami Lakes, Inc",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330155114",
            "country_code": "US",
            "telephone_number": "305-556-7500",
            "fax_number": "305-503-3476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORIS-HERNANDEZ",
        "first_name": "ROSEMARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME119728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.