Organization Active NPI

Maria Elena Hernandez Borjas MD PA

  • Family Medicine Physician
  • Clermont, FL
National Provider Identifier
1952581647
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME85427 Issued in FL
Legal business name
MARIA ELENA HERNANDEZ BORJAS MD PA
Practice address
364 Chestnut St
Clermont, FL 34711-3022
Phone
(352) 242-4816
Fax
(352) 242-4702
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Dr. Maria Elena Hernandez Borjas, MD
Title
President
Phone
(352) 242-4816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME85427 FL Primary

Addresses

Primary practice location

364 Chestnut St
Clermont, FL 34711-3022

Mailing address

PO Box 120373
Clermont, FL 34712-0373
Phone (352) 242-4816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080320000293 FL Part B Supplier - Clinic/Group Practice 0749366425 Receives reassigned benefits from 1 practitioner
Practice locations: Clermont, FL

National Provider Directory

National Provider Directory

Locations

364 Chestnut St
Clermont, FL 34711
Phone (352) 242-4816

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1952581647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120373",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347120373",
            "telephone_number": "352-242-4816",
            "fax_number": "352-242-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 CHESTNUT ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113022",
            "telephone_number": "352-242-4816",
            "fax_number": "352-242-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA ELENA HERNANDEZ BORJAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ BORJAS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-242-4816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME85427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.