Individual provider Active NPI

Baliunis Ortega Hernandez

  • Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1366144545
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11024177 Issued in FL
Practice address
6600 Cow Pen Rd
Miami Lakes, FL 33014-7600
Phone
(786) 246-9363
NPI assigned
Mar 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11024177 FL Primary

Addresses

Primary practice location

6600 Cow Pen Rd
Miami Lakes, FL 33014-7600

Mailing address

8066 NW 199TH Ter
Hialeah, FL 33015-6392
Phone (786) 246-9363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11024177FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1366144545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8066 NW 199TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156392",
            "telephone_number": "786-246-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 COW PEN RD",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147600",
            "telephone_number": "786-246-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA HERNANDEZ",
        "first_name": "BALIUNIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11024177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.