Jorge Hernandez Canciobello, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME153943 Issued in FL

Practice address

11750 Bird Rd
Miami, FL 33175-3530

Phone

(305) 223-2000

Fax

(305) 227-5556

NPI assigned

Mar 29, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Catholic Hospice Inc Hospice, Miami Lakes, FL, CCN 101530
• HCA Florida Mercy Hospital Hospital, Plantation, FL, CCN 100167
• Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
• South Miami Hospital Hospital, Miami, FL, CCN 100154
• Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079
• West Gables Rehabilitation Hospital Inpatient rehabilitation facility, Miami, FL, CCN 103036

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospital Medicine Services of FL, LLC

  • Hospitalist Physician
  • Aventura, FL
  • NPI 1710684857
  Medicare reassignment Care Compare group NPD
• JHC MD Inc

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1770273070
  Medicare reassignment NPD Authorized official
• Sun Grove Medical Group PLLC

  • General Practice Physician
  • Miami, FL
  • NPI 1003746777
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Hospital of Miami Inc

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1528042884
  Care Compare affiliation
• Catholic Hospice, Inc

  • Community Based Hospice Care Agency
  • Miami Lakes, FL
  • NPI 1427051325
  Care Compare affiliation
• Plantation General Hospital L P

  • General Acute Care Hospital
  • Plantation, FL
  • NPI 1144274317
  Care Compare affiliation
• Plantation General Hospital LP

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1023387479
  Care Compare affiliation
• South Miami Hospital Inc

  • General Acute Care Hospital
  • South Miami, FL
  • NPI 1982688230
  Care Compare affiliation
• University of Miami Hospital and Clinics

  • Special Hospital
  • Miami, FL
  • NPI 1679660617
  Care Compare affiliation
• West Gables Rehabilitation Hospital LLC

  • Rehabilitation Hospital
  • Miami, FL
  • NPI 1578865861

  Inpatient rehabilitation facility

  Care Compare affiliation
• West Gables Rehabilitation Hospital, L.L.C.

  • Rehabilitation Hospital
  • Miami, FL
  • NPI 1427097815

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1619438710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 BIRD RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753530",
            "telephone_number": "305-223-2000",
            "fax_number": "305-227-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 BIRD RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753530",
            "telephone_number": "305-223-2000",
            "fax_number": "305-227-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ CANCIOBELLO",
        "first_name": "JORGE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME153943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dainelys Hernandez Caballero
• Roberto Hernandez Cabrera
• Michell Hernandez Calderon, APRN
• Monica De la Caridad Hernandez Calderon
• Carlos Marcel Hernandez Cancio
• Raul Hernandez Canete, FNP-C
• Ivelis Hernandez Capiro
• Jane Eyvis Hernandez Carballo
• Yenier Hernandez Cardo
• Mercedes Lianet Hernandez Cardoso

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.