Raquel G. Hernandez, M.D, MPH

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME105045 Issued in FL

Practice address

4117 W Kensington Ave
Tampa, FL 33629-8534

Phone

(813) 495-2778

Fax

(727) 767-8804

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rhernandez732874@direct.hopkinsmedicine.org

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.

• Pediatric Physician Services, Inc.

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1770532798
  Medicare reassignment NPD

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1861538803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 W KENSINGTON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298534",
            "telephone_number": "813-495-2778",
            "fax_number": "727-767-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 W KENSINGTON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298534",
            "telephone_number": "813-495-2778",
            "fax_number": "727-767-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "RAQUEL",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME105045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001382500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "146FP",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miriam Lourdes Hernandez, RPH
• Nicole Hernandez
• Omar Hernandez Jr., RBT
• Pedro Alberto Hernandez
• Rachel Hernandez, MA
• Sharon Elizabeth Hernandez
• Solange Nury Hernandez
• Sonsire Hernandez
• Tiffany Lacross Hernandez, MD
• Wuenseslao Hernandez, PHARMD

• Pediatrics Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.