Eliseo T Hernandez Jr., R.N

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

RN#2792532 Issued in FL

Practice address

703 N Flamingo Rd
Pembroke Pines, FL 33028-1006

Phone

(954) 433-7130

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750409074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 NW 159TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281671",
            "telephone_number": "954-447-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N FLAMINGO RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281006",
            "telephone_number": "954-433-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ELISEO",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "R.N",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "RN#2792532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Armando Hernandez, O.D.
• Christina Sofia Hernandez
• Cristina Maria Hernandez
• Dayana Hernandez
• Dunia Hernandez, M.D.
• Gabriella Hernandez
• Jennifer Soris Hernandez, OTR
• Joel Josue Hernandez
• Kately D Hernandez
• Katherine Hernandez

• Critical Care Medicine Registered Nurse in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Critical Care Medicine Registered Nurse 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.