Gredell Hernandez, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN 13251 Issued in FL

Practice address

2509 W Crest Ave Ste 4
Tampa, FL 33614-6839

Phone

(813) 877-4638

Fax

(813) 872-0689

NPI assigned

Nov 13, 2006

Sex

Female

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1770654238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 W CREST AVE STE 4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146839",
            "telephone_number": "813-877-4638",
            "fax_number": "813-872-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 W CREST AVE STE 4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146839",
            "telephone_number": "813-877-4638",
            "fax_number": "813-872-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "GREDELL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 13251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diego F. Hernandez, PSY.D.
• Francesca Hernandez, DDS
• Freddy Hernandez, APRN
• Geidy Hernandez
• Gisela Hernandez, RN
• Ines Eileen Hernandez
• Irene Caridad Hernandez, RN
• Ivonne Freyre Hernandez, PHD RN IBCLC
• Jaden D Hernandez
• Jamison Hernandez, PHARMD

• Dentist in Tampa, FL
• Providers in Tampa, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.