Organization Active NPI

Jorge a Hernandez PA

  • Foot & Ankle Surgery Podiatrist
  • Weston, FL
National Provider Identifier
1578819769
Registry record updated Jun 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 3424 Issued in FL
Legal business name
JORGE A HERNANDEZ PA
Practice address
2701 Executive Park Dr Ste 3
Weston, FL 33331-3632
Phone
(954) 328-9770
Fax
(954) 212-9817
NPI assigned
Jul 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2025

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

Authorized official

Name
Dr. Jorge A Hernandez, D.P.MNPI 1104069079
Title
Director/Owner
Phone
(787) 598-1000

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO 3424 FL Primary

Addresses

Primary practice location

2701 Executive Park Dr Ste 3
Weston, FL 33331-3632

Mailing address

13315 SW 26TH St
Miramar, FL 33027-3875
Phone (787) 598-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121023000814 FL Part B Supplier - Clinic/Group Practice 8325298565 Receives reassigned benefits from 1 practitioner
Practice locations: Weston, FL

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750550400000",
    "number": "1578819769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13315 SW 26TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273875",
            "telephone_number": "787-598-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 EXECUTIVE PARK DR STE 3",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313632",
            "telephone_number": "954-328-9770",
            "fax_number": "954-212-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE A HERNANDEZ PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2025-06-22",
        "certification_date": "2025-06-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "787-598-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 3424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2025; 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.