Individual provider Active NPI

Jose P. Hernandez-Gala, M.D.

  • Specialist
  • Miami, FL
National Provider Identifier
1366536799
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0026136 Issued in FL
Practice address
1235 SW 27 Avenue
Miami, FL 33135
Phone
(305) 642-4680
Fax
(305) 642-4773
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0026136 FL Primary

Addresses

Primary practice location

1235 SW 27 Avenue
Miami, FL 33135

Mailing address

539 NW 130 Avenue
Miami, FL 33182
Phone (305) 642-4680

Other identifiers 1

IdentifierTypeStateIssuer
059388500MedicaidFL

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
I20080430000899 FL Practitioner - Internal Medicine 2668551706 Reassigns benefits to 1 organization
Practice locations: Hialeah, FL; Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

700 E 1St Ave
Hialeah, FL 33010-4406
Phone (305) 883-1060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0026136FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Consulting Center Inc CurrentSince Nov 6, 2012 Accepting new patients
Norberto J Hernandez D.D.S. P.a. Past Accepting new patients

Locations

759 NW 22nd Ave
Ste 100
Miami, FL 33125
Phone (305) 649-0492

Networks

  • HealthSun Health Plans Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1366536799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 NW 130 AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33182",
            "telephone_number": "305-642-4680",
            "fax_number": "305-642-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SW 27 AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33135",
            "telephone_number": "305-642-4680",
            "fax_number": "305-642-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-GALA",
        "first_name": "JOSE",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "0026136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059388500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.