Individual provider Active NPI

Mario Alfredo Hernandez, M.D.

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1801034442
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 104912 Issued in FL
Practice address
1900 E Commercial Blvd
#101
Fort Lauderdale, FL 33308-3737
Phone
(954) 351-5838
Fax
(954) 351-5836
NPI assigned
Feb 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME 104912 FL
Internal Medicine Physician 207R00000X ME 104912 FL Primary

Addresses

Primary practice location

1900 E Commercial Blvd
#101
Fort Lauderdale, FL 33308-3737

Mailing address

1900 E Commercial Blvd
#101
Fort Lauderdale, FL 33308-3737
Phone (954) 351-5838

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000136 FL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6305984089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Meharry Medical College School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holy Cross Hospital IncGroup PAC ID 1850298365, 299 clinicians

Practice addresses (Care Compare)

1309 S Federal Hwy
Holy Cross Medical Group
Fort Lauderdale, FL 33316-2040
Phone (954) 463-4383

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Coral Springs, FL, CCN 108061
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 104912FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Urgent Care CurrentSince Mar 23, 2021 Accepting new patients
Holy Cross Hospital Inc Internal Medicine CurrentSince Sep 1, 2009 Accepting new patients

Locations

3481 N University Dr
Coral Springs, FL 33065
Phone (954) 229-8634

1900 E Commercial Blvd
Ste 202
Ft Lauderdale, FL 33308
Phone (954) 351-5840

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

1115 S Federal Hwy
Ft Lauderdale, FL 33316
Phone (954) 764-6646

1900 E Commercial Blvd
Ste 101
Ft Lauderdale, FL 33308
Phone (954) 351-5838

Interoperability endpoints

  • Direct secure messaging: mhernandez2120925@direct.trinity-health.org

Organizations & group practices 2

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 5

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": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1801034442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E COMMERCIAL BLVD",
            "address_2": "#101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083737",
            "telephone_number": "954-351-5838",
            "fax_number": "954-351-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E COMMERCIAL BLVD",
            "address_2": "#101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083737",
            "telephone_number": "954-351-5838",
            "fax_number": "954-351-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARIO",
        "middle_name": "ALFREDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 104912",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 104912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.