Individual provider Active NPI

Juan Carlos Hernandez, APRN

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1750833638
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9407216 Issued in FL
Practice address
1095 NW 14TH Ter
Miami, FL 33136-1060
Phone
(305) 243-6946
Fax
(305) 243-3337
NPI assigned
Oct 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9407216 FL
Adult Health Nurse Practitioner 363LA2200X APRN9407216 FL Primary

Addresses

Primary practice location

1095 NW 14TH Ter
Miami, FL 33136-1060

Mailing address

1095 NW 14TH Ter
Miami, FL 33136-1060
Phone (305) 243-6946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190520001822 FL Practitioner - Nurse Practitioner 4385987122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broward Neurosurgeons LLCGroup PAC ID 8123096690, 21 clinicians

Practice addresses (Care Compare)

8251 W Broward Blvd
Plantation, FL 33324-2703
Phone (954) 475-9244

Hospital & facility affiliations

  • HCA Florida University Hospital Hospital, Davie, FL, CCN 100360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9407216FLMDAdult Health Nurse Practitioner
APRN9407216FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Neurosurgeons LLC CurrentSince Oct 18, 2021 Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
University of Miami Current Accepting new patients
Fort Pierce Orthopaedics LLC Past Accepting new patients

Locations

7630 SW 34th Mnr
Ste 300
Davie, FL 33328
Phone (954) 472-5969

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

8932 SW 97th Ave
Miami, FL 33176
Phone (305) 270-3485

21097 NE 27th Ct
Ste 320
Miami, FL 33180
Phone (305) 933-8465

21097 NE 27th Ct
Ste 540
Miami, FL 33180
Phone (305) 937-3022

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

3683 S Miami Ave
Ste 500
Miami, FL 33133
Phone (305) 285-5025

1321 NW 14th St
Ste 406
Miami, FL 33125
Phone (305) 243-8434

1400 NW 12th Ave
Fl 1
Miami, FL 33136
Phone (305) 689-5511

8251 W Broward Blvd
Ste 300
Plantation, FL 33324
Phone (954) 475-9535

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: juan.hernandez@hca4.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1750833638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 NW 14TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361060",
            "telephone_number": "305-243-6946",
            "fax_number": "305-243-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 NW 14TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361060",
            "telephone_number": "305-243-6946",
            "fax_number": "305-243-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-26",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9407216",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9407216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.