Ivan A Hernandez, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

60850 Issued in FL

Practice address

5711 South Dixie Hwy
South Miami, FL 33143-3694

Phone

(305) 667-1036

Fax

(305) 667-4938

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Psychosocial Rehabilitation Center Inc

  • Community/Behavioral Health Agency
  • South Miami, FL
  • NPI 1174526743
  Medicare reassignment NPD
• Advanced Psychiatric Associates

  • Psychiatry Physician
  • Miami, FL
  • NPI 1316134786
  NPD (past)
• Bayview Center for Mental Health Inc

  • Community/Behavioral Health Agency
  • North Miami Beach, FL
  • NPI 1912123456
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1942350236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 S DIXIE HWY",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433602",
            "telephone_number": "305-667-1036",
            "fax_number": "305-667-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 SOUTH DIXIE HWY",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433694",
            "telephone_number": "305-667-1036",
            "fax_number": "305-667-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "IVAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "60850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfredo Hernandez, M.S., LMHC, Q-S
• Ariana Hernandez, MD
• Bianca Giselle Hernandez
• Carlos Hernandez, NP
• Fabiola Hernandez, RBT
• Katiana Hernandez, LMHC
• Kristen Marie Hernandez, DO
• Marlene Hernandez, M.D
• Oscar L. Hernandez, MD
• Yesenia P Hernandez

• Psychiatry Physician in South Miami, FL
• Providers in South Miami, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.