Individual provider Active NPI

Fatima Martha Zerquera Hernandez, MD

  • General Practice Physician
  • Haines City, FL
National Provider Identifier
1811207970
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
1558 Issued in FL
Practice address
502 E Hinson Ave
Haines City, FL 33844-5240
Phone
(305) 278-0200
NPI assigned
Oct 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 1558 FL Primary

Addresses

Primary practice location

502 E Hinson Ave
Haines City, FL 33844-5240

Mailing address

738 NE 83Rd Ter
Miami, FL 33138-3611
Phone (786) 397-2394

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
I20251112003440 FL Practitioner - General Practice 9234581604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12171 SW 268TH St
Homestead, FL 33032-8001

9495 SW 72 St
Suite B 180
Miami, FL 33173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1558FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Medical Care Corp CurrentSince Aug 12, 2025 Accepting new patients
Miami Behavioral Health Center Inc Social Worker Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1811207970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 NE 83RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331383611",
            "telephone_number": "786-397-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E HINSON AVE",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445240",
            "telephone_number": "305-278-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERQUERA HERNANDEZ",
        "first_name": "FATIMA",
        "middle_name": "MARTHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "1558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

Verify at the official NPI Registry.