Mario Antonio Hernandez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN26141 Issued in FL

Practice address

10920 W Flagler St Ste 205
Miami, FL 33174-1243

Phone

(786) 452-1922

NPI assigned

Jun 25, 2021

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

State licenses

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1770153447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 W FLAGLER ST STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741243",
            "telephone_number": "786-208-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 W FLAGLER ST STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741243",
            "telephone_number": "786-452-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARIO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricel Hernandez
• Maricela Hernandez, BA
• Mariela Hernandez, RBT
• Mariela Hernandez
• Marilin Hernandez
• Mario J Hernandez, DDS
• Mario Pedro Hernandez, MD
• Marisela Hernandez, FNP
• Marisela Hernandez, RTB
• Mark A Hernandez, MD

• General Practice Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.