Fidel Hernando Henriquez MD PA

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

ME0058002 Issued in FL

Legal business name

FIDEL HERNANDO HENRIQUEZ MD PA

Practice address

10796 Pines Blvd
Suite 103
Pembroke Pines, FL 33026-3919

Phone

(954) 442-1402

Fax

(954) 442-1418

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Fidel Hernando Henriquez, MDPANPI 1891738720

Title

Physician

Phone

(954) 442-1402

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Fidel H Henriquez, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Pembroke Pines, FL
  • NPI 1891738720
  Medicare reassignment Care Compare group NPD Authorized official
• Andres Fidel Henriquez, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Pembroke Pines, FL
  • NPI 1629429261
  Medicare reassignment Care Compare group NPD
• Gustavo A Aguilar, PA-C

  • Medical Physician Assistant
  • Pembroke Pines, FL
  • NPI 1972721256
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1851454839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10796 PINES BLVD",
            "address_2": "SUITE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263919",
            "telephone_number": "954-442-1402",
            "fax_number": "954-442-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10796 PINES BLVD",
            "address_2": "SUITE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263919",
            "telephone_number": "954-442-1402",
            "fax_number": "954-442-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDEL HERNANDO HENRIQUEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "HENRIQUEZ",
        "authorized_official_first_name": "FIDEL",
        "authorized_official_middle_name": "HERNANDO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-442-1402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MDPA"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME0058002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niki Alysa Ferrer
• Lainie Mae Ferring, LMHC
• Kristen Molly Fibbio, APRN
• Jennifer L Fichera Macaluso, DO
• Jennifer Ficken
• Robert Carlton Fields, M.D.
• Tricia Charlene Fields, MD
• Rey Fierro Rodriguez
• Jared K Fife, PA
• Greger Figaro

• Endocrinology, Diabetes & Metabolism Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.