Juan Jose Hermida Despaigne Sr.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11029702 Issued in FL

Practice address

6970 SW Bird Road Apt 436
Miami, FL 33155-3787

Phone

(786) 614-5072

NPI assigned

Jun 22, 2024

Last updated

Jun 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Suncare Medical Center LLC

  dba Suncare Research Center

  • Clinic/Center
  • Miami, FL
  • NPI 1952952848
  Medicare reassignment NPD

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

{
    "created_epoch": "1719014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719014400000",
    "number": "1619711850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6970 SW BIRD ROAD APT 436",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553787",
            "telephone_number": "786-614-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6970 SW BIRD ROAD APT 436",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553787",
            "telephone_number": "786-614-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMIDA DESPAIGNE",
        "first_name": "JUAN JOSE",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-22",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hermanas Family Home
• Hermanos Vazquez Alf Corp.
• Hermes Clinical Center LLC
• Hermes HHH Inc
• Beatriz Yanet Hermida Alvarez
• Jesus G Hermida, MD
• Giselle I Hermosilla Batista, RBT
• Eliana Hermosilla, COTA
• Rolando Hernadez Gonzalez
• Yusmila Hernadez Perez, LMT

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.