Organization Active NPI

Felix J. Hernandez M.D.,P.a.

  • Cardiovascular Disease Physician
  • St Petersburg, FL
National Provider Identifier
1396015947
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME48521 Issued in FL
Legal business name
FELIX J. HERNANDEZ M.D.,P.A.
Practice address
4500 Central Ave
St Petersburg, FL 33711-1041
Phone
(727) 323-0757
Fax
(727) 388-9883
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Dr. Felix J. Hernandez, M.D.
Title
President
Phone
(727) 323-0757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME48521 FL Primary

Addresses

Primary practice location

4500 Central Ave
St Petersburg, FL 33711-1041

Mailing address

4500 Central Ave
St Petersburg, FL 33711-1041
Phone (727) 323-0757

Other identifiers 2

IdentifierTypeStateIssuer
04154OtherFLMEDICARE PTAN
27363900MedicaidFL

National Provider Directory

National Provider Directory

Locations

34650 US 19 N
Ste 208
Palm Harbor, FL 34684
Phone (727) 781-3447

9700 Seminole Blvd
Seminole, FL 33772
Phone (727) 398-0121

4500 Central Ave
St Petersburg, FL 33711
Phone (727) 323-0757

11001 Roosevelt Blvd N
Ste 1000
St Petersburg, FL 33716
Phone (727) 577-7990

4710 Eisenhower Blvd
Ste A12
Tampa, FL 33634
Phone (813) 886-5866

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1396015947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111041",
            "telephone_number": "727-323-0757",
            "fax_number": "727-388-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111041",
            "telephone_number": "727-323-0757",
            "fax_number": "727-388-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELIX J. HERNANDEZ M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-323-0757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME48521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "04154",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27363900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.