Organization Active NPI

Robert J Hernandez MD PA

  • Infectious Disease Physician
  • Miami, FL
National Provider Identifier
1508032806
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME93218 Issued in FL
Legal business name
ROBERT J HERNANDEZ MD PA
Practice address
9240 SW 72ND St Ste 241
Miami, FL 33173-3265
Phone
(305) 271-1919
Fax
(305) 271-1911
NPI assigned
May 6, 2008
Last updated
Jun 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Authorized official

Name
Dr. Robert J Hernandez, MDNPI 1558303701
Title
President
Phone
(786) 348-5921

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
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X ME93218 FL Primary

Addresses

Primary practice location

9240 SW 72ND St Ste 241
Miami, FL 33173-3265

Mailing address

15421 SW 82ND Ave
Palmetto Bay, FL 33157-2215
Phone (786) 348-5921

Other identifiers 1

IdentifierTypeStateIssuer
AL143OtherFLMEDICARE GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080801000567 FL Part B Supplier - Clinic/Group Practice 3072687441 Receives reassigned benefits from 5 practitioners
Practice locations: Cutler Bay, FL; Hialeah, FL; Miami, FL; Palmetto Bay, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1508032806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15421 SW 82ND AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331572215",
            "telephone_number": "786-348-5921",
            "fax_number": "305-271-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 SW 72ND ST STE 241",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733265",
            "telephone_number": "305-271-1919",
            "fax_number": "305-271-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J HERNANDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-348-5921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME93218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "AL143",
            "state": "FL"
        }
    ],
    "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 Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.