Individual provider Active NPI

Yoel A Hernandez Rodriguez Sr., MD

  • Internal Medicine Physician
  • Miramar, FL
National Provider Identifier
1376865923
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME106099 Issued in FL
Practice address
1951 SW 172ND Ave
Ste 200
Miramar, FL 33029-5593
Phone
(954) 256-8181
Fax
(954) 256-8155
NPI assigned
Feb 24, 2010
Last updated
Jun 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X FL
Internal Medicine Physician 207R00000X ME106099 FL Primary

Addresses

Primary practice location

1951 SW 172ND Ave
Ste 200
Miramar, FL 33029-5593

Mailing address

13079 NW 23Rd St
Pembroke Pines, FL 33028-2549
Phone (954) 256-8181

Other identifiers 1

IdentifierTypeStateIssuer
ME106099OtherFLMEDICAL LICENSE

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
I20101110000231 FL Practitioner - Internal MedicinePractitioner - Hospitalist 6406041987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11303 Temple St
Cooper City, FL 33330-4442

13079 NW 23Rd St
Pembroke Pines, FL 33028-2549

14875 NW 77 Ave
Miami Lakes, FL 33014

1643 NW 136 Ave
Sunrise, FL 33323-2857

2000 Health Park Dr
Brentwood, TN 37027-4692

265 Brookview Centre Way
Knoxville, TN 37919-4052

7150 W 20TH Ave
Suite 412E
Hialeah, FL 33016-5533

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heaven Health LLC PastSince Jun 21, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1376865923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13079 NW 23RD ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282549",
            "telephone_number": "954-256-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE",
            "address_2": "STE 200",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295593",
            "telephone_number": "954-256-8181",
            "fax_number": "954-256-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ RODRIGUEZ",
        "first_name": "YOEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-24",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME106099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME106099",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.