Individual provider Active NPI

Yuanil Airam Hernandez Torres, MD

  • General Practice Physician
  • St Petersburg, FL
National Provider Identifier
1881292373
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22055 Issued in PR
Practice address
12450 Roosevelt Blvd N Ste 308
St Petersburg, FL 33716-1902
Phone
(727) 577-0285
Fax
(727) 577-3870
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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 22055 PR Primary

Addresses

Primary practice location

12450 Roosevelt Blvd N Ste 308
St Petersburg, FL 33716-1902

Mailing address

12450 Roosevelt Blvd N Ste 308
St Petersburg, FL 33716-1902
Phone (727) 577-0285

Other practice location 1

24 Calle Criscola
Aguadilla, PR 00603-6308
Phone (787) 673-7640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210819000730 PR Practitioner - General Practice 0446655005 Practice locations: Aguadilla, PR
I20220831000220 FL Practitioner - General Practice 0446655005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verimed Health Group Pinellas Park, LLCGroup PAC ID 4688790546, 2 clinicians
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

12450 Roosevelt Blvd N
St Petersburg, FL 33716-1902
Phone (727) 577-0285

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

National Provider Directory

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

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Feb 1, 2026 Accepting new patients
Millennium Physician Group LLC CurrentSince Feb 1, 2026 Accepting new patients
Verimed Health Group Pinellas Park, LLC CurrentSince Aug 2, 2022 Accepting new patients
Aguada Medical Center Care Club PastSince Jan 1, 2022 Accepting new patients

Locations

9365 US Highway 19 N
Ste E
Pinellas Park, FL 33782
Phone (727) 577-0285

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

12450 Roosevelt Blvd N
Ste 308
St Petersburg, FL 33716
Phone (727) 572-0900

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1881292373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 ROOSEVELT BLVD N STE 308",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161902",
            "telephone_number": "727-577-0285",
            "fax_number": "727-577-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 ROOSEVELT BLVD N STE 308",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161902",
            "telephone_number": "727-577-0285",
            "fax_number": "727-577-3870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Calle Criscola",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "006036308",
            "country_code": "US",
            "telephone_number": "787-673-7640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ TORRES",
        "first_name": "YUANIL",
        "middle_name": "AIRAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.