Active NPI
Martha Hernandez-Illas, MD
- Rheumatology Physician
- Fort Lauderdale, FL
National Provider Identifier
1972517464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- ME 87694
- Practice address
- 5333 N Dixie Hwy
Suite 110
Fort Lauderdale, FL 33334 - Phone
- (954) 229-7030
- Fax
- (954) 229-0963
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ME 87694 | FL | Primary |
Addresses
Primary practice location
5333 N Dixie Hwy
Suite 110
Fort Lauderdale, FL 33334
Mailing address
10873 NW 73 Terr
Doral, FL 33178
Phone (305) 594-5793
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00215148 | Other | RAILROAD MEDICARE | |
| 01605 | Other | FL | BCBS |
Other names 1
- Martha Hernandez
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 87694 | FL | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yvonne R S Sherrer MD PA | Rheumatology | 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.
-
- Rheumatology Physician
- Oakland Park, FL
- NPI 1912056110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972517464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10873 NW 73 TERR",
"city": "DORAL",
"state": "FL",
"postal_code": "33178",
"telephone_number": "305-594-5793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5333 N DIXIE HWY",
"address_2": "SUITE 110",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33334",
"telephone_number": "954-229-7030",
"fax_number": "954-229-0963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ-ILLAS",
"first_name": "MARTHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": "ME 87694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00215148",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01605",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARTHA",
"last_name": "HERNANDEZ",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}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.