Organization Active NPI

Hometown Pediatrics

  • Pediatrics Physician
  • Marathon, FL
National Provider Identifier
1730715012
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HOMETOWN PEDIATRICS
Practice address
9499 Overseas Hwy
Marathon, FL 33050-3335
Phone
(305) 743-2323
NPI assigned
Mar 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Michael Hernandez
Title
Owner
Phone
(305) 896-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

9499 Overseas Hwy
Marathon, FL 33050-3335

Mailing address

9499 Overseas Hwy
Marathon, FL 33050-3335
Phone (305) 743-2323

National Provider Directory

National Provider Directory

Locations

9499 Overseas Hwy
Marathon, FL 33050
Phone (305) 289-1196

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1730715012",
    "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": "305-743-2323"
        },
        {
            "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": "305-743-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-896-9393"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.