Hernandez Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS12178 Issued in FL

Legal business name

HERNANDEZ MEDICAL GROUP LLC

Practice address

2001 W 68TH St
Hialeah, FL 33016-1801

Phone

(305) 823-5000

NPI assigned

Sep 19, 2017

Last updated

Sep 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Emmanuel Hernandez, DONPI 1134418668

Title

Medical Doctor

Phone

(305) 900-8170

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Hernandez Medical Group LLC Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emmanuel Hernandez, D.O.

  • Hospitalist Physician
  • Homestead, FL
  • NPI 1134418668
  Medicare reassignment Authorized official
• Jose R Paz, D.O.

  • Internal Medicine Physician
  • Miami Lakes, FL
  • NPI 1366731317
  NPD (past)

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505779200000",
    "number": "1669991873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CAMERON DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263514",
            "telephone_number": "305-900-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161801",
            "telephone_number": "305-823-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNANDEZ MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "305-900-8170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS12178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012315900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1134418668",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hernandez Medical Group LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leidis Hernandez Martinez
• Lisandra Hernandez Martinez
• Nellys J Hernandez Martinez
• Sonia Haydee Hernandez Martinez
• Yenny P Hernandez Martinez, PTA
• Nayeli Hernandez Mendoza
• Rocio D Hernandez Merayo
• Aracelys Hernandez Miarabal, CBHCM, PA
• Lauren Hernandez Miel
• Lorena Hernandez Musa

• Internal Medicine Physician in Hialeah, FL
• Providers in Hialeah, 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 Sep 19, 2017; 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.