Individual provider Active NPI

Ruben Hernandez II, ARRT (R)

  • Mobile Radiology Clinic/Center
  • Hialeah, FL
National Provider Identifier
1407009566
Registry record updated Nov 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Practice address
387 W 29TH St
Hialeah, FL 33012-5707
Phone
(786) 662-9177
Fax
(305) 381-5465
NPI assigned
Nov 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X 61478 FL
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

387 W 29TH St
Hialeah, FL 33012-5707

Mailing address

387 W 29TH St
Hialeah, FL 33012-5707
Phone (786) 662-9177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61478FLMDMammography Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Mobile Services, Inc. Past Accepting new patients
Atlantic Mobile Services Inc Radiology, Mobile Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225584000000",
    "number": "1407009566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 W 29TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125707",
            "telephone_number": "786-662-9177",
            "fax_number": "305-381-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 W 29TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125707",
            "telephone_number": "786-662-9177",
            "fax_number": "305-381-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "RUBEN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "ARRT (R)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-02",
        "last_updated": "2008-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "FL",
            "license": "61478",
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2008; 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.