Active NPI
Liliana Julia Hernandez, D.D.S.
- Dentist
- Fort Lauderdale, FL
National Provider Identifier
1902927452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12715
- Practice address
- 1330 SE 4TH Ave
Suite K
Fort Lauderdale, FL 33316-1958 - Phone
- (954) 523-0566
- Fax
- (954) 523-3013
- NPI assigned
- Apr 3, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12715 | FL | Primary |
Addresses
Primary practice location
1330 SE 4TH Ave
Suite K
Fort Lauderdale, FL 33316-1958
Mailing address
1330 SE 4 Ave
Suite K
Fort Lauderdale, FL 33316
Phone (954) 523-0566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12715 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902927452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 SE 4 AVE",
"address_2": "SUITE K",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33316",
"telephone_number": "954-523-0566",
"fax_number": "954-523-3013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 SE 4TH AVE",
"address_2": "SUITE K",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333161958",
"telephone_number": "954-523-0566",
"fax_number": "954-523-3013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "LILIANA",
"middle_name": "JULIA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "12715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.