Active NPI
Yuanil Airam Hernandez Torres, MD
- General Practice Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 22055
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Verimed Health Group Pinellas Park, LLC | Current | Accepting new patients | |
| Aguada Medical Center Care Club | Past | 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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1043441546
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Clinic/Center
- Aguada, PR
- NPI 1720490998
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.