Organization Active NPI

Hermesdhalf LLC

Doing business as Clinica Latina Internacional

  • Family Medicine Physician
  • Humble, TX
National Provider Identifier
1467219311
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HERMESDHALF LLC
Doing business as
Clinica Latina Internacional
Practice address
8950 Will Clayton Pkwy Ste I
Humble, TX 77338-5856
Phone
(832) 644-8230
Fax
(832) 644-8429
NPI assigned
Mar 5, 2024
Last updated
Mar 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Hermes D Hernandez AlfonsoNPI 1528457827
Title
Owner
Phone
(772) 584-5543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8950 Will Clayton Pkwy Ste I
Humble, TX 77338-5856

Mailing address

8950 Will Clayton Pkwy Ste I
Humble, TX 77338-5856
Phone (832) 644-8230

Other names 1

  • CLINICA LATINA INTERNACIONAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240402002542 TX Part B Supplier - Clinic/Group Practice 7719325349 Receives reassigned benefits from 1 practitioner
Practice locations: Humble, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2299966Clinica Latina Internacional8950 Will Clayton Parkway, Suite I, Humble, TX 77338Certificate of waiverFeb 28, 2028

National Provider Directory

National Provider Directory

Locations

8950 Will Clayton Pkwy
Ste I
Humble, TX 77338
Phone (832) 644-8230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1467219311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 WILL CLAYTON PKWY STE I",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385856",
            "telephone_number": "832-644-8230",
            "fax_number": "832-644-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 WILL CLAYTON PKWY STE I",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385856",
            "telephone_number": "832-644-8230",
            "fax_number": "832-644-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMESDHALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ ALFONSO",
        "authorized_official_first_name": "HERMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-584-5543"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA LATINA INTERNACIONAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.