Organization Active NPI

Hernandez Roman Nephrology Corp

  • Nephrology Physician
  • Miami, FL
National Provider Identifier
1366893232
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME124673 Issued in FL
Legal business name
HERNANDEZ ROMAN NEPHROLOGY CORP
Practice address
10710 SW 38TH St
Miami, FL 33165-3619
Phone
(305) 639-8735
Fax
(786) 332-4357
NPI assigned
Jun 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Authorized official

Name
Marcos A Hernandez Roman, MDNPI 1033489711
Title
Owner
Phone
(305) 639-8735

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X ME124673 FL Primary

Addresses

Primary practice location

10710 SW 38TH St
Miami, FL 33165-3619

Mailing address

4191 El Prado Blvd
Miami, FL 33133-6311
Phone (305) 639-8735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161004001901 FL Part B Supplier - Clinic/Group Practice 7911295167 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1366893232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4191 EL PRADO BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331336311",
            "telephone_number": "305-639-8735",
            "fax_number": "786-332-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 SW 38TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653619",
            "telephone_number": "305-639-8735",
            "fax_number": "786-332-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNANDEZ ROMAN NEPHROLOGY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ ROMAN",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-639-8735",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME124673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.