Mark a Hernandez MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME83014 Issued in FL

Legal business name

MARK A HERNANDEZ MD PA

Practice address

4101 NW 4TH St
Suite 208
Plantation, FL 33317-2850

Phone

(954) 792-0400

Fax

(305) 598-6536

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark A Hernandez, MD

Title

President

Phone

(786) 282-8983

Specialties & licenses 1

Addresses

Practitioners 2

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

• Cecilia Marie Jorge, M.D.

  • Psychiatry Physician
  • Homestead, FL
  • NPI 1043494537

  Psychiatry

  NPD (past)
• Katherine Ntekim, ARNP

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Miami, FL
  • NPI 1881866937
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1902010663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12355 SW 76TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833601",
            "telephone_number": "786-282-8983",
            "fax_number": "305-225-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NW 4TH ST",
            "address_2": "SUITE 208",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172850",
            "telephone_number": "954-792-0400",
            "fax_number": "305-598-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A HERNANDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-282-8983",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME83014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeska Marenco
• Danielle Jacqueline Marese, P.A.
• Margaret Angelyn Bush Latta, LCSW
• Angela Marie Marinez, DPT
• Marisol Albuerne MD PA
• Mark F. Herman, PA
• Mark Gregory Florio Dr of Podiatric
• Mark W Kaylin MD PA
• Andrea Mark
• Latrice N. Markison, APRN

• All providers in Plantation, FL
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.