LEONARDO HERNANDEZ


Address: 8009 Nw 36th St Ste 236, Doral, FL 33166-6638
Phone: 3057172440

LEONARDO HERNANDEZ (NPI# 1619241320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619241320
Entity Type Individual
Full Name LEONARDO HERNANDEZ
Credential LMT
Practice Address 8009 Nw 36th St Ste 236
Doral
FL 33166-6638
Practice Telephone 3057172440
Practice Fax Number 3057172422
Mailing Telephone 3057172440
Mailing Fax Number 3057172422
Enumeration Date 2012-02-27
Last Update Date 2012-02-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251T00000X PACE Provider Organization MA66162 FL Agencies

Office Location

Street Address 8009 NW 36TH ST STE 236
City DORAL
State FL
Zip Code 33166-6638

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003180449 Macyas System Inc Point of Service 8009 Nw 36th St Ste 236, Doral, FL 33166-6638 2012-03-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407402027 Sfl Nutrition Nutritionist 3901 Nw 79th Ave. Suite 245, #312, Miami, FL 33166 2019-08-11
1629543590 Rosa Alina Alayo Nurse Practitioner 151 Fairway Dr Unit 2308, Miami Springs, FL 33166 2018-10-08
1518445618 Icare Behavior Services, LLC Behavior Technician 8180 Nw 36th St Ste 100l, Doral, FL 33166 2018-07-31
1871087684 Yohjan Suarez-martinez Nurse Practitioner 6221 Nw 36 Th St, Miami, FL 33166 2018-06-15
1639683709 Sonia Gloria Garcia Nurse Practitioner 7325 Nw 36th St, Miami, FL 33166 2017-11-27
1891214607 Jose Sanchez Early Intervention Provider Agency 1036 Quail Ave, Miami Springs, FL 33166 2017-09-12
1659893022 Yanelis Pineiro Behavioral Analyst 249 South Royal Poinciana Boulevard, Apto 202, Miami Springs, FL 33166 2017-07-07
1720509748 Roxana Rodriguez Behavior Technician 8359 Nw South River Dr, Medley, FL 33166 2017-06-29
1457881278 Dairene Gonzalez Ruiz Behavior Technician 6501 Nw 36th Street, Suite 411, Virginia Gardens, FL 33166 2017-06-14
1699204198 Oz Medical Center Inc Physical Medicine & Rehabilitation 3900 Nw 79 Ave., Suite 815, Miami, FL 33166 2017-06-08
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Taxonomy Information

Taxonomy Code 251T00000X
Grouping Agencies
Classification PACE Provider Organization

Taxonomy Definition

A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851950620 Pace Place of Northeast Florida, Inc PACE Provider Organization 5450 Ramona Blvd, Jacksonville, FL 32205-4750 2019-06-06
1487137030 K and L Loving Care of Lehigh Acres Assisted Living Facility Inc. PACE Provider Organization 4504 6th St W, Lehigh Acres, FL 33971-1100 2018-09-10
1518401017 Cornerstone Pace LLC PACE Provider Organization 5601 S Orange Ave, Suite 5665, Orlando, FL 32809-4229 2016-12-19
1275083727 Veenakumar PACE Provider Organization 12152 Basalt Dr S, Jacksonville, FL 32246-0680 2016-10-08
1144604307 Amc, LLC D/b/a Brainworx Academy PACE Provider Organization 641 University Blvd Ste 108, Jupiter, FL 33458-2792 2015-07-16
1548678634 Emerald Home Care Corp PACE Provider Organization 14228-30 Sw 8 Street, Suite 23, Miami, FL 33184 2014-08-01
1427473552 Pasco County Board of County Commissioners PACE Provider Organization 8600 Galen Wilson Blvd, Port Richey, FL 34668-5973 2014-02-26
1104178839 Linjohn Medical Billing PACE Provider Organization 2 Miracle Strip Loop Ste 5, Panama City Beach, FL 32407-8412 2012-10-04
1295025591 Dianand Rajigadoo PACE Provider Organization 1020 Chelsea Parc Dr, Minneola, FL 34715-8160 2011-04-08
1821308446 Signing Hands Interpreting Services PACE Provider Organization 18900 Ne 3rd Ct, Suite # 537, North Miami Beach, FL 33179-3845 2010-10-16
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Competitor

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City DORAL
Zip Code 33166

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Dataset Information

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.

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