CELSO ROMAN HERNANDEZ (NPI# 1063588820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063588820 |
| Entity Type | Individual |
| Full Name | CELSO ROMAN HERNANDEZ |
| Credential | MD |
| Practice Address |
92140 Overseas Hwy Suite 2 Tavernier FL 33070-2636 |
| Practice Telephone | 3058527473 |
| Practice Fax Number | 3058528962 |
| Mailing Telephone | 3058527473 |
| Mailing Fax Number | 3058528962 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2010-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME28458 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 057246202 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932100559 | Celso A Hernandez | Obstetrics & Gynecology | 2424 N Wyatt Dr Ste 260, Tucson, AZ 85712-6118 | 2005-08-04 |
| Street Address |
92140 OVERSEAS HWY SUITE 2 |
| City | TAVERNIER |
| State | FL |
| Zip Code | 33070-2636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326051731 | Debra Nussbaum | Social Worker | 92140 Overseas Hwy, Suite 5, Tavernier, FL 33070-2636 | 2006-08-15 |
| 1487890034 | Care Center for Mental Health | Point of Service | 92140 Overseas Hwy, Suite 5, Tavernier, FL 33070-2636 | 2009-01-05 |
| 1992970651 | Betty J. Clark | Counselor | 92140 Overseas Hwy, Suite 5, Tavernier, FL 33070-2636 | 2008-04-24 |
| 1508031402 | Betina Lindsay | Case Manager/Care Coordinator | 92140 Overseas Hwy, Care Center for Mental Health, Suite 5, Tavernier, FL 33070-2636 | 2008-04-23 |
| 1720252539 | Marilyn R. Allen | Counselor | 92140 Overseas Hwy, Tavernier, FL 33070-2636 | 2008-04-14 |
| 1891992517 | Tricia Hynes | Counselor | 92140 Overseas Hwy, Tavernier, FL 33070-2636 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603739 | Stella Del Mare, LLC | Internal Medicine | 90130 Old Highway, Tavernier, FL 33070 | 2020-09-09 |
| 1104324524 | Alliance Healthcare Network Inc | Case Management | 92330 Overseas Hwy Ste 106, Tavernier, FL 33070 | 2018-01-31 |
| 1821335639 | Jacqueline Gavin | Nurse Practitioner | 91500 Overseas Highway, Tavernier, FL 33070 | 2013-01-14 |
| 1417131913 | Keys Physician Services Pa | Internal Medicine | 91500 O/s Hwy, Mariners Hospital, Tavernier, FL 33070 | 2007-12-20 |
| 1558553479 | Baptist Health Medical Group Upper Keys, LLC | Specialist | 91550 Overseas Highway, Suite 215, Tavernier, FL 33070 | 2007-08-14 |
| 1003037532 | John L Izanec Dds Pa | Dentist | 91750 Overseas Hwy, Tavernier, FL 33070 | 2007-05-01 |
| 1669591277 | Erica R Lieberman -garrett | Chiropractor | 90290 Overseas Highway, Suite 110, Tavernier, FL 33070 | 2007-03-28 |
| 1356362727 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 92100 Overseas Hwy, Tavernier, FL 33070 | 2006-07-21 |
| 1376580712 | Plantation Key Convalescent Center Inc | Skilled Nursing Facility | 48 High Point Road, Tavernier, FL 33070 | 2006-06-02 |
| 1669983680 | Epione Physician Services Inc | Voluntary or Charitable | 91500 Overseas Hwy, Tavernier, FL 33070 | 2017-10-17 |
| Find all providers in zip 33070 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407385966 | Nikole Czapp | Family Medicine | 90130 Old Hwy Ste 1, Tavernier, FL 33070-2348 | 2017-06-08 |
| 1659625259 | Joseph Michael Mansy | Family Medicine | 140 Gardenia St, Tavernier, FL 33070-2209 | 2012-11-04 |
| 1679821102 | Miguel Angel Diaz | Family Medicine | 90130 Old Hwy, Tavernier, FL 33070-2368 | 2012-08-15 |
| 1740586379 | Robert L. Temkin | Family Medicine | 202 Plantation Ave, Tavernier, FL 33070-2235 | 2011-01-29 |
| 1043405665 | Eileen Turbessi Mdpa | Family Medicine | 91550 Overseas Hwy Ste 109, Tavernier, FL 33070-2513 | 2007-09-06 |
| 1619508793 | Island Md, LLC | Family Medicine | 90130 Old Hwy, Tavernier, FL 33070-2368 | 2020-01-28 |
| 1851730527 | Mary Elizabeth Woods | Family Medicine | 91500 Overseas Hwy, Tavernier, FL 33070-2547 | 2013-06-17 |
| 1336499540 | John Deagle Family Practice | Family Medicine | 90290 Overseas Hwy, Suite 103, Tavernier, FL 33070-2263 | 2012-09-14 |
| 1609061225 | Brian P Magrane Mdpa | Family Medicine | 91550 Overseas Hwy, Suite 109, Tavernier, FL 33070-2506 | 2007-09-06 |
| 1093744906 | Eileen M Turbessi | Family Medicine | 91550 Overseas Hwy, Ste 109, Tavernier, FL 33070-2506 | 2006-07-02 |
| Find all providers in TAVERNIER | ||||
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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.