Mabel Hernandezmdpa

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME49255 Issued in FL

Legal business name

MABEL HERNANDEZMDPA

Practice address

7737 N University Dr
Suite107
Tamarac, FL 33321-2961

Phone

(954) 720-3800

Fax

(954) 726-9101

NPI assigned

Dec 23, 2006

Organization subpart

No

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

Authorized official

Name

Mabel Hernandez, MD

Title

President

Phone

(954) 720-3800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306901079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 N UNIVERSITY DR",
            "address_2": "SUITE107",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212961",
            "telephone_number": "954-720-3800",
            "fax_number": "954-726-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 N UNIVERSITY DR",
            "address_2": "SUITE107",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212961",
            "telephone_number": "954-720-3800",
            "fax_number": "954-726-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABEL HERNANDEZMDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MABEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-720-3800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME49255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elicia K Lowitz, LMHC
• Andrea J Lozada
• Lucette Eleonor Luces Manocchio
• Olivia Lumibao
• Lymphatx Inc
• Shahrad Mabourakh, MD
• Alberto Macena, NP-C
• Diana Fernanda Machuca Suarez, APRN
• Madelyn B Lipman MD PA
• Madrid, LLC (Florida Open MRI)

• Specialist in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.