Mauricio T Hernandez, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME53791 Issued in FL

Practice address

11760 SW 40TH St
Suite 635
Miami, FL 33175-3582

Phone

(305) 220-2121

Fax

(305) 220-8787

NPI assigned

Dec 2, 2005

Last updated

Feb 1, 2022By the provider in NPPES

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

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

Specialty

General Surgery

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209
• Coral Gables Hospital Hospital, Coral Gables, FL, CCN 100183

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Mauricio Hernandez Mdpa

  • Specialist
  • Miami, FL
  • NPI 1316247679
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hsa CGH LLC

  dba Coral Gables Hospital

  • General Acute Care Hospital
  • Coral Gables, FL
  • NPI 1104653153
  Care Compare affiliation
• Kendall Healthcare Group, LTD.

  dba HCA Florida Kendall Hospital

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1710931522
  Care Compare affiliation

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1467436501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830635",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332830635",
            "telephone_number": "305-220-2121",
            "fax_number": "305-220-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "SUITE 635",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-220-2121",
            "fax_number": "305-220-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MAURICIO",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME53791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marta Hernandez
• Marta Maria Hernandez, LMT
• Martha Karla Hernandez, RBT-20-112855
• Maulio Hernandez
• Maureen Martha Hernandez, LMHC, LCMHC
• Mayelin Hernandez
• Mayelin Hernandez
• Mayli Hernandez
• Mayra Lizette Hernandez, RN
• Mayrelin Hernandez

• Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.