Active NPI
Caesar M Hernandez Jr.
- Hearing Instrument Specialist
- Boynton Beach, FL
National Provider Identifier
1912040965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS2735
- Practice address
- 11040 S Military TRL
Boynton Beach, FL 33436-7217 - Phone
- (561) 734-9998
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS2735 | FL | Primary |
Addresses
Primary practice location
11040 S Military TRL
Boynton Beach, FL 33436-7217
Mailing address
11040 S Military TRL
Boynton Beach, FL 33436-7217
Phone (561) 734-9998
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610243300 | Medicaid | FL | |
| N453864 | Other | FL | WELL CARE |
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 |
|---|---|---|---|
| AS2735 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Hearing Aid Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hearing Aid Equipment
- Boynton Beach, FL
- NPI 1568629152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290556800000",
"number": "1912040965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11040 S MILITARY TRL",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334367217",
"telephone_number": "561-734-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11040 S MILITARY TRL",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334367217",
"telephone_number": "561-734-9998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "CAESAR",
"middle_name": "M",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2010-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS2735",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "610243300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELL CARE",
"identifier": "N453864",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.