Jorge Adolfo Hernandez, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

ME94723 Issued in FL

Practice address

717 Ponce de Leon Blvd Ste 228
Coral Gables, FL 33134-2070

Phone

(305) 822-1993

Fax

(305) 479-2745

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• D & D Psych

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1376887752
  NPD (past)
• Jorge a. Hernandez-Chaple, M.D., P.a.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hialeah, FL
  • NPI 1609045814
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1396790598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 PONCE DE LEON BLVD STE 228",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342070",
            "telephone_number": "305-665-2911",
            "fax_number": "305-479-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 PONCE DE LEON BLVD STE 228",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342070",
            "telephone_number": "305-822-1993",
            "fax_number": "305-479-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JORGE",
        "middle_name": "ADOLFO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME94723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imilsy Hernandez II
• Ivan Hernandez
• Ivan Hernandez
• Jackelin Hernandez
• Jenny Marilis Hernandez, DDS
• Jorge N. Hernandez, M.D.
• Juan Pedro Hernandez, HS
• Kelly Anne Hernandez, RBT
• Keyli Hernandez, RPH
• Krystal Hernandez

• Child & Adolescent Psychiatry Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Child & Adolescent Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.