Individual provider Active NPI

Julio Cesar Hernandez Roman, PA-C

  • Medical Physician Assistant
  • Miami, FL
National Provider Identifier
1801252895
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9113605 Issued in FL
Practice address
2525 SW 75TH Ave FL 12
Miami, FL 33155-2800
Phone
(305) 262-6800
NPI assigned
Jan 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2016002 NM
Medical Physician Assistant 363AM0700X PA9113605 FL Primary

Addresses

Primary practice location

2525 SW 75TH Ave FL 12
Miami, FL 33155-2800

Mailing address

2251 SW 27TH St Apt 2
Miami, FL 33133-2332
Phone (786) 231-8183

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
I20210310002027 FL Practitioner - Physician Assistant 6709180532 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2500 SW 75TH Ave
Coral West Community Hospital
Miami, FL 33155-2805
Phone (305) 264-5252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2016002NMMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Centers of Brevard County LLC CurrentSince Aug 1, 2021 Accepting new patients
Adventist Health System/Sunbelt, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Hernandez Roman Physician Assistant LLC CurrentSince May 1, 2026 Accepting new patients
Presbyterian Healthcare Services CurrentSince Mar 1, 2016 Accepting new patients
Urgent Care Centers of Brevard County LLC CurrentSince Aug 1, 2021 Accepting new patients
Adventist Health System/ Sunbelt, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Presbyterian Healthcare Services CurrentSince Mar 1, 2016 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

5190 SW 8th St
Fl Cor
Coral Gables, FL 33134

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

2525 SW 75th Ave
Fl 12
Miami, FL 33155
Phone (305) 262-6800

2500 SW 75th Ave
Miami, FL 33155
Phone (305) 431-0577

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

4005 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 462-6000

4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234

Interoperability endpoints

  • Direct secure messaging: julio.hernandez.1@14931.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1801252895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 SW 27TH ST APT 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332332",
            "telephone_number": "786-231-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 SW 75TH AVE FL 12",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552800",
            "telephone_number": "305-262-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ ROMAN",
        "first_name": "JULIO",
        "middle_name": "CESAR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-07",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2016002",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9113605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.