Mark Antonio Hernandez, MD

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

ME83014 Issued in FL

Practice address

2387 W 68TH St
Suite 303
Hialeah, FL 33016-6889

Phone

(954) 792-0400

Fax

(305) 598-6536

NPI assigned

Nov 20, 2006

Last updated

Apr 3, 2014By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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.

• Mark a Hernandez MD PA

  • Psychiatry Physician
  • Plantation, FL
  • NPI 1902010663
  Authorized official Same address or phone
• Acadia Neuro-Behavioral Associates PA

  • Psychiatry Physician
  • Pembroke Pines, FL
  • NPI 1487769683
  NPD (past)
• D & D Psych

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1376887752
  NPD (past)
• D&D Psych Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1982792438
  NPD (past)
• Nu-Concepts Behavioral Health Center LLC

  • Mental Health Counselor
  • Miami, FL
  • NPI 1811939317
  NPD (past)
• Renascence Community Health Care Center, Inc.

  dba Renascence Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1528076072
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1477627602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12355 SW 76 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33183",
            "telephone_number": "786-282-8983",
            "fax_number": "305-598-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 W 68TH ST",
            "address_2": "SUITE 303",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166889",
            "telephone_number": "954-792-0400",
            "fax_number": "305-598-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARK",
        "middle_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME83014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268434900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maidelyn Hernandez
• Maria Josefa Hernandez
• Mariela Hernandez
• Marigloria Hernandez
• Marjorie Hernandez, P.T.A.
• Marlen Hernandez
• Marlene Hernandez
• Matyuri Hernandez
• Maybis Hernandez
• Mayuris Hernandez

• Geriatric Psychiatry Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Geriatric Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.