Individual provider Active NPI

Dinorah Hernandez, RPA-C

  • Physician Assistant
  • Homestead, FL
National Provider Identifier
1639157258
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104533 Issued in FL
Practice address
442 Washington Ave
Homestead, FL 33030-6036
Phone
(305) 245-0200
Fax
(305) 245-6186
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 010848 NY
Physician Assistant 363A00000X 010848 NY
Physician Assistant 363A00000X PA9104533 FL Primary

Addresses

Primary practice location

442 Washington Ave
Homestead, FL 33030-6036

Mailing address

7200 Corporate Center Dr Ste 600
Miami, FL 33126-1227
Phone (305) 500-2000

Other identifiers 1

IdentifierTypeStateIssuer
02730409MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090526000474 FL Practitioner - Physician Assistant 2860406279 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9104533FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergent Physicians of Palmetto Bay, LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

8750 SW 144th St
Ste 100
Palmetto Bay, FL 33176
Phone (305) 253-5585

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1639157258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CORPORATE CENTER DR STE 600",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261227",
            "telephone_number": "305-500-2000",
            "fax_number": "305-500-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 WASHINGTON AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306036",
            "telephone_number": "305-245-0200",
            "fax_number": "305-245-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "DINORAH",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "010848",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010848",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02730409",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.