Mirta Hernandez, DPM PA

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

PO2848 Issued in FL

Legal business name

MIRTA HERNANDEZ, DPM PA

Practice address

14871 SW 39TH Ter
Miami, FL 33185-4726

Phone

(305) 984-3865

Fax

(305) 207-1587

NPI assigned

Sep 25, 2007

Last updated

Sep 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mirta Hernandez, D.P.M.NPI 1730250457

Title

Podiatrist/President

Phone

(305) 984-3865

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mirta Hernandez, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Miami, FL
  • NPI 1730250457
  Medicare reassignment Authorized official
• Rafael E Alfonzo, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1497853741
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1982891834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14871 SW 39TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854726",
            "telephone_number": "305-984-3865",
            "fax_number": "305-207-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14871 SW 39TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854726",
            "telephone_number": "305-984-3865",
            "fax_number": "305-207-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRTA HERNANDEZ, DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MIRTA",
        "authorized_official_title_or_position": "PODIATRIST/PRESIDENT",
        "authorized_official_telephone_number": "305-984-3865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO2848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340317300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K5491",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalia Alexandrovna Mironova
• Bari Morgan Mirotznik
• Tarun Mohan Mirpuri, M.D.
• Nicholas Alexander Mirsky, MD
• Mirta Caminero Tejedor MD PA
• Mirta Matos PSYD PA
• Nadia Saeed Mirza, PA-C
• Yasamin Mirzabeigi, MD
• Mis Abuelitos Adult Day Care Corp.
• Mis Abuelos Adult Day Care, LLC

• Primary Podiatric Medicine Podiatrist in Miami, FL
• Providers in Miami, FL by specialty
• Primary Podiatric Medicine Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.