Organization Active NPI

Hernandez Roman Physician Assistant LLC

  • Nephrology Physician
  • Miami, FL
National Provider Identifier
1831031665
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
HERNANDEZ ROMAN PHYSICIAN ASSISTANT LLC
Practice address
10989 SW 40TH St
Miami, FL 33165-4412
Phone
(786) 542-9937
NPI assigned
Apr 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Julio C Hernandez Roman, PA-CNPI 1801252895
Title
Ceo
Phone
(786) 231-8183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

10989 SW 40TH St
Miami, FL 33165-4412

Mailing address

2138 SW 22ND Ter
Miami, FL 33145-3709
Phone (786) 231-8183

Other practice location 1

2525 SW 75th Ave
Miami, FL 33155-2800
Phone (305) 262-6800

Other practice location 2

5190 SW 8th St
Coral Gables, FL 33134-2476
Phone (305) 448-1585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260518002472 FL Part B Supplier - Clinic/Group Practice 1850860982 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL; Coral Gables, FL

National Provider Directory

National Provider Directory

Locations

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

10989 SW 40th St
Miami, FL 33165
Phone (786) 445-3311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1831031665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 SW 22ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453709",
            "telephone_number": "786-231-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10989 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654412",
            "telephone_number": "786-542-9937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 SW 75th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331552800",
            "country_code": "US",
            "telephone_number": "305-262-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5190 SW 8th St",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331342476",
            "country_code": "US",
            "telephone_number": "305-448-1585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HERNANDEZ ROMAN PHYSICIAN ASSISTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ ROMAN",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-231-8183",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.