MARK ANTONIO HERNANDEZ (NPI# 1477627602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477627602 |
Entity Type | Individual |
Full Name | MARK ANTONIO HERNANDEZ |
Credential | MD |
Practice Address |
2387 W 68th St Suite 303 Hialeah FL 33016-6889 |
Mailing Address |
12355 Sw 76 St Miami FL 33183 |
Practice Telephone | 9547920400 |
Practice Fax Number | 3055986536 |
Mailing Telephone | 7862828983 |
Mailing Fax Number | 3055986536 |
Enumeration Date | 2006-11-20 |
Last Update Date | 2014-04-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
ME83014 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 268434900 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285177048 | Mark Hernandez | Counselor | 690 E Bullard Ave, Suite 104, Fresno, CA 93710-5456 | 2016-11-28 |
1649664244 | Mark Hernandez | Physical Therapist | 3710 Gilbert St, Austin, TX 78703-2007 | 2015-03-23 |
1952454449 | Mark D Hernandez | Emergency Medicine | Bldg, H100, Santa Margarita Road, Camp Pendleton, CA 92055-9151 | 2007-01-19 |
1801223912 | Mark Andrew Hernandez | Acupuncturist | 4525 Lemmon Ave, Suite 305, Dallas, TX 75219-2145 | 2013-10-03 |
1093941080 | Mark Hernandez | Counselor | 5151 S Western Ave, Los Angeles, CA 90062-2333 | 2009-06-03 |
1457416224 | Mark Edward Hernandez | Family Medicine | 302 S 1st Ave, Sandpoint, ID 83864-1258 | 2006-12-22 |
1093783490 | Mark Steven Hernandez | Internal Medicine | 601 E 15th St, Brackenridge Hospital Annex, Austin, TX 78701-1930 | 2006-03-10 |
1881679421 | Mark A Hernandez | Internal Medicine | 975 Baptist Way, Homestead, FL 33033-7600 | 2005-12-07 |
Street Address |
2387 W 68TH ST SUITE 303 |
City | HIALEAH |
State | FL |
Zip Code | 33016-6889 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942297205 | Otto L Secada | Internal Medicine | 2387 W 68th St, Suite 203, Hialeah, FL 33016-6889 | 2005-10-03 |
1831513142 | Sierra Dental Inc. | Dentist | 2387 W 68th St, Suite # 302, Hialeah, FL 33016-6889 | 2014-02-06 |
1306198577 | M.d. Consulting Center, Inc | Clinic/Center | 2387 W 68th St, Suite 504, Hialeah, FL 33016-6889 | 2012-10-11 |
1164770178 | Best Medical Solutions Inc | Clinic/Center | 2387 W 68th St, Suite 502, Hialeah, FL 33016-6889 | 2012-08-22 |
1679844336 | St Jude Professional Service Inc | Clinic/Center | 2387 W 68th St, 504, Hialeah, FL 33016-6889 | 2012-01-25 |
1881983658 | Otto L Secada Mdpa | Internal Medicine | 2387 W 68th St, Suite 203, Hialeah, FL 33016-6889 | 2011-04-01 |
1275833865 | Pedro Orlando Diaz Md Pa | Internal Medicine | 2387 W 68th St, Suite 503, Hialeah, FL 33016-6889 | 2010-10-28 |
1518267343 | Lysette Iglesias, M.d, P.a | Pediatrics | 2387 W 68th St, Suite 301, Hialeah, FL 33016-6889 | 2010-10-26 |
1356655534 | South Florida Obstetrics and Gynecology, LLC | Specialist | 2387 W 68th St, Suite 303, Hialeah, FL 33016-6889 | 2010-07-30 |
1053647784 | Med One Health Care Group LLC | General Practice | 2387 W 68th St, Suite 301, Hialeah, FL 33016-6889 | 2009-10-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306450580 | Yenly Hernandez Arrieta | Behavior Technician | 6550 West 22 Court, Hialeah, FL 33016 | 2020-09-03 |
1952929028 | Live Mental Care Inc | Community/Behavioral Health | 8040 Nw 95th St., Unit 226, Hialeah Gardens, FL 33016 | 2020-07-06 |
1497375059 | Lisset Sirven | Student in an Organized Health Care Education/Training Program | Palmetto General Hospital, 2001 W 68th St, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-23 |
1386264331 | Zahid Chaudhry | Student in an Organized Health Care Education/Training Program | 2001 W 68th Street, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-20 |
1386285021 | Monica Hurtado | Behavior Technician | 2480 W 67th Pl # 22, Hialeah, FL 33016 | 2019-10-03 |
1346892783 | Yamile Blanco Rodriguez | Behavior Technician | 2265 W 55th St, Hialeah, FL 33016 | 2019-07-16 |
1669938197 | Althea Aesthetics & Medical Arts Center | Pathology | 14160 Nw 77th Court., Suite 100, Miami Lakes, FL 33016 | 2019-02-20 |
1497226096 | Dominick Maurici | Physical Therapy Assistant | 9905 Nw 79 Ave, Hialeah Gardens, FL 33016 | 2018-12-09 |
1871061283 | Lazaro Teresa-calleja Jr. | Nurse Practitioner | 2715 West 73 Pl, Hialeah, FL 33016 | 2018-11-05 |
1245719640 | Yagna Elena Martinez La Fe | Nurse Practitioner | 7191 W 24th Ave Apt 56, Hialeah, FL 33016 | 2018-08-07 |
Find all providers in zip 33016 |
Taxonomy Code | 2084P0805X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Geriatric Psychiatry |
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043494537 | Cecilia Marie Jorge | Psychiatry & Neurology | 42 E 5th St, Hialeah, FL 33010-4842 | 2007-12-20 |
1851498943 | Jose E Gamez Md Pa | Psychiatry & Neurology | 7100 W 20th Ave, Suite 503, Hialeah, FL 33016-1897 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982205290 | Slrc Miami Medical LLC | Psychiatry & Neurology | 601 Brickell Key Dr, Miami, FL 33131-2662 | 2020-11-03 |
1225674849 | Slrc Jacksonville LLC | Psychiatry & Neurology | 14286 Beach Blvd Ste 118, Jacksonville, FL 32250-1561 | 2019-11-19 |
1790248466 | Waves of Wellness | Psychiatry & Neurology | 10 Se Central Pkwy Ste 225, Stuart, FL 34994-5920 | 2019-04-10 |
1548753718 | Good Health Outcomes, Inc. | Psychiatry & Neurology | 1200 4th St Ste 308, Key West, FL 33040-3763 | 2018-06-12 |
1013374354 | New Horizons Mental Health LLC | Psychiatry & Neurology | 12130 Cortez Blvd, Brooksville, FL 34613-5575 | 2016-01-18 |
1174913958 | Lee County Associates In Psychiatry | Psychiatry & Neurology | 1303 Homestead Rd N Ste 103, Lehigh Acres, FL 33936-6049 | 2015-01-30 |
1558609156 | Milagros C. Pescador | Psychiatry & Neurology | 5208 Touraine Dr, Tallahassee, FL 32308-5934 | 2013-01-17 |
1992063002 | Marilyn Horvath Md Pa | Psychiatry & Neurology | 4317 Sw 186th Ave, Miramar, FL 33029-2772 | 2012-04-26 |
1295044873 | Kelly L Dunn Md Pa | Psychiatry & Neurology | 1696 W Hibiscus Blvd Ste A, Melbourne, FL 32901-2638 | 2010-09-30 |
1083928527 | Gerocare Consulting LLC | Psychiatry & Neurology | 17332 Garden Heath Ct, Land O Lakes, FL 34638-8089 | 2010-07-26 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.