Michael Patrick Hernandez I, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0053764 Issued in FL

Practice address

9499 Overseas Hwy
Marathon, FL 33050-3335

Phone

(305) 289-1196

Fax

(305) 289-5665

NPI assigned

May 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Hometown Pediatrics

  • Pediatrics Physician
  • Marathon, FL
  • NPI 1730715012
  Authorized official Same address or phone

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699982819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9499 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503335",
            "telephone_number": "305-289-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9499 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503335",
            "telephone_number": "305-289-1196",
            "fax_number": "305-289-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "0053764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Renee Halbrook, APRN
• Kristin E Hall, D.V.M.
• Stephanie Hamad, RN
• Amy Harn
• Hear Again LLC (Hear Again America)
• Andrew Troy Hodge, MD
• Arjen Frederick Holdinga, PT,
• Cami H. Holdinga, P.T.
• Hometown Pediatrics
• Carmen Nadine Hood, C.A.P.

• Pediatrics Physician in Marathon, FL
• Providers in Marathon, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.