Individual provider Active NPI

Allan A Hernandez, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1386614592
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0092572 Issued in FL
Practice address
4301 SW 13TH Ter
Miami, FL 33134-2726
Phone
(786) 547-1780
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0092572 FL Primary

Addresses

Primary practice location

4301 SW 13TH Ter
Miami, FL 33134-2726

Mailing address

4301 SW 13TH Ter
Miami, FL 33134-2726
Phone (786) 547-1780

Other identifiers 1

IdentifierTypeStateIssuer
01581OtherFLBCBS

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
I20050505000991 FL Practitioner - Emergency MedicinePractitioner - Family Practice 3173563483 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0092572FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Contracting Services LLC CurrentSince Nov 1, 2010 Accepting new patients
Larkin Emergency Physicians LLC CurrentSince Sep 1, 2020 Accepting new patients
Tamiami Canal Emergency Physicians LLC Past Accepting new patients
Ma Emergency Associates PL Past Accepting new patients
Inphynet South Broward LLC Family Medicine Past Accepting new patients

Locations

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

1475 W 49th St
Hialeah, FL 33012
Phone (305) 824-4761

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

Organizations & group practices 5

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1386614592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 SW 13TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331342726",
            "telephone_number": "786-547-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 SW 13TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331342726",
            "telephone_number": "786-547-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ALLAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0092572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01581",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.