Individual provider Active NPI

Israel Hernandez Rodriguez

  • Family Nurse Practitioner
  • Doral, FL
National Provider Identifier
1619543709
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11013233 Issued in FL
Practice address
10305 NW 41St St Ste 227
Doral, FL 33178-2976
Phone
(305) 982-8810
Fax
(305) 826-6929
NPI assigned
May 31, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11013233 FL Primary

Addresses

Primary practice location

10305 NW 41St St Ste 227
Doral, FL 33178-2976

Mailing address

8085 NW 8TH St Apt 1
Miami, FL 33126-2836
Phone (786) 260-9265

Other practice location 1

8085 NW 8th St Apt 1
Miami, FL 33126-2836
Phone (786) 260-9265

Other identifiers 1

IdentifierTypeStateIssuer
11013233MedicaidFL

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
11013233FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1619543709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8085 NW 8TH ST APT 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262836",
            "telephone_number": "786-260-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 NW 41ST ST STE 227",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782976",
            "telephone_number": "305-982-8810",
            "fax_number": "305-826-6929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8085 NW 8th St Apt 1",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331262836",
            "country_code": "US",
            "telephone_number": "786-260-9265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ RODRIGUEZ",
        "first_name": "ISRAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-31",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11013233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11013233",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.