Raul Hernandez I

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 62303 Issued in FL

Practice address

3785 NW 82ND Ave Ste 109
3785 NW 82 Ave Ste 109
Doral, FL 33166-6629

Phone

(305) 468-9373

Fax

(305) 468-9374

NPI assigned

Dec 12, 2011

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)

Not enrolled

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 and National Provider Directory roles.

• Starlite Medical Center, Inc

  • Rehabilitation Clinic/Center
  • Doral, FL
  • NPI 1457600835
  NPD (past) Authorized official

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1467720946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 NW 82ND AVE STE 109",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666629",
            "telephone_number": "305-468-9373",
            "fax_number": "305-468-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 NW 82ND AVE STE 109",
            "address_2": "3785 NW 82 AVE STE 109",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666629",
            "telephone_number": "305-468-9373",
            "fax_number": "305-468-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "RAUL",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 62303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Hernandez
• Melissa Acosta Hernandez, OTR/L, LLCC
• Miryam Hernandez, B.A
• Natalie Hernandez
• Norberto J Hernandez, DDS
• Santiago Hernandez
• Yadira Hernandez
• Yamila Hernandez, CNA
• Yamilka Hernandez
• Carmen Hernando-Valdes, LMHC

• Massage Therapist in Doral, FL
• Providers in Doral, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.