Individual provider Active NPI

Julio E Hernandez, DMD

  • Dentist
  • Miami, FL
National Provider Identifier
1497875058
Registry record updated Jul 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN014046 Issued in FL
Practice address
350 NE 24TH St Ste 105
Miami, FL 33137-4873
Phone
(305) 572-1600
Fax
(305) 690-0156
NPI assigned
Mar 29, 2007
Last updated
Jul 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN014046 FL Primary

Addresses

Primary practice location

350 NE 24TH St Ste 105
Miami, FL 33137-4873

Mailing address

350 NE 24TH St Ste 105
Miami, FL 33137-4873
Phone (305) 572-1600

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
DN014046FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Julio E Hernandez DMD PA CurrentSince Jul 19, 2020 Accepting new patients

Locations

350 NE 24th St
Ste 105
Miami, FL 33137
Phone (305) 572-1600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594425600000",
    "number": "1497875058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NE 24TH ST STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374873",
            "telephone_number": "305-572-1600",
            "fax_number": "305-690-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NE 24TH ST STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374873",
            "telephone_number": "305-572-1600",
            "fax_number": "305-690-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JULIO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN014046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2020; 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.