Individual provider Active NPI

Yoandy Hernandez, PA-C

  • Surgical Physician Assistant
  • Miami, FL
National Provider Identifier
1366194995
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PAT9115510 Issued in FL
Practice address
1190 NW 95TH St Ste 101
Miami, FL 33150-2064
Phone
(305) 691-2941
Fax
(305) 696-4435
NPI assigned
Jan 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PAT9115510 FL Primary

Addresses

Primary practice location

1190 NW 95TH St Ste 101
Miami, FL 33150-2064

Mailing address

1190 NW 95TH St Ste 101
Miami, FL 33150-2064
Phone (305) 691-2941

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220316003387 FL Practitioner - Physician Assistant 6406241157 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PAT9115510FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vincenzo Novara MD PA CurrentSince Jul 27, 2025 Accepting new patients

Locations

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

100 NW 170th St
Ste 301
North Miami Beach, FL 33169
Phone (305) 651-3033

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1366194995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502064",
            "telephone_number": "305-691-2941",
            "fax_number": "305-696-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502064",
            "telephone_number": "305-691-2941",
            "fax_number": "305-696-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "YOANDY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PAT9115510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.