Pablo Antonio Hernandez, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9100127 Issued in FL

Practice address

721 NW 21St CT
Suite100
Miami, FL 33125-3434

Phone

(786) 310-7115

Fax

(786) 464-5125

NPI assigned

Oct 30, 2007

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)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1578742201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 NW 4TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255053",
            "telephone_number": "305-345-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 NW 21ST CT",
            "address_2": "SUITE100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253434",
            "telephone_number": "786-310-7115",
            "fax_number": "786-464-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "PABLO",
        "middle_name": "ANTONIO",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9100127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANCE",
            "identifier": "PA9100127",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olga Marta Hernandez
• Orestes Adrian Hernandez, NP-C
• Orlando Hernandez, BCABA
• Osmany Hernandez
• Ottoniel Hernandez, NP
• Patricia Lynn Hernandez, M.S. CCC-SLP
• Patricia Margarita Hernandez, BA
• Patrick Hernandez
• Pedro Hernandez, M.D.
• Pedro Hernandez

• Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.