Gerardo Jose Hevilla, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME55062 Issued in FL

Practice address

2130 Hibiscus Cir
North Miami, FL 33181-2355

Phone

(305) 798-4471

NPI assigned

Sep 6, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1851640809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 HIBISCUS CIR",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812355",
            "telephone_number": "305-957-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 HIBISCUS CIR",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812355",
            "telephone_number": "305-798-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEVILLA",
        "first_name": "GERARDO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME55062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larissa Mabel Herrera Herrera
• Daysi Herrera Martinez, LCSW
• Mibsam Lissette Herrera, PTA
• Nakiu Alexandra Herretes Marcano, RBT
• Christian Heskestad
• HG Enterprises
• Lucy Hidalgo
• Melissa Alexandria Hidalgo, PA-C
• Ty'Jah Hill
• Hispaniola Community Center, Inc

• General Practice Physician in North Miami, FL
• Providers in North Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.