Teresita D Hernandez Mdpa

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME93489 Issued in FL

Legal business name

TERESITA D HERNANDEZ MDPA

Practice address

10710 SW 34TH St
Miami, FL 33165-3615

Phone

(305) 559-7330

Fax

(305) 223-4767

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Teresita D Hernandez, MDNPI 1962665182

Title

Owner

Phone

(305) 559-7330

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresita D Hernandez, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1962665182
  Medicare reassignment Authorized official
• Carlos A Conrado, M.D.,

  • Internal Medicine Physician
  • Homestead, FL
  • NPI 1164464020
  NPD (past)
• Juan Augusto Valladares, M.D.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1427067149
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1730133901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653633",
            "telephone_number": "305-559-7330",
            "fax_number": "305-223-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 SW 34TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653615",
            "telephone_number": "305-559-7330",
            "fax_number": "305-223-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESITA D HERNANDEZ MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-559-7330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME93489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274461900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Martinez-Arroyo MD PA
• Teresa Martinez,M.D.,PA
• Teresita a Bollar OD PA
• Teresita Alf Inc
• Teresita Cueto, Otr/L, PA
• Teresita Home Care Inc
• Teresita Medical Center Inc
• Teresita Pharmacy & Discount, Inc.
• Teresita'S Alf Inc
• Mason Terheggen

• Primary Care Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.