MR. JUAN CARLOS HERNANDEZ PRERA (NPI# 1922386028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922386028 |
| Entity Type | Individual |
| Full Name | MR. JUAN CARLOS HERNANDEZ PRERA |
| Credential | M.D. |
| Practice Address |
12902 Usf Magnolia Dr Tampa FL 33612-9416 |
| Mailing Address |
215 E 95th St 24e New York NY 10128-4077 |
| Practice Telephone | 8137452720 |
| Mailing Telephone | 6464695582 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2016-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
ME130418 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
280085 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
12902 USF MAGNOLIA DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-9416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475158 | Jose Leonel Ochoa-bayona | Internal Medicine | 12902 Usf Magnolia Dr, Fob 3 Bmt, Tampa, FL 33612-9416 | 2005-05-27 |
| 1134735285 | Edith Abraham | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-09-23 |
| 1134735442 | Lindsay Garcia | Dietitian, Registered | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-09-22 |
| 1972117026 | Charsetta Denise Campbell | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-09-06 |
| 1083228480 | Mary Thisbe Quilab | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-09-02 |
| 1336758788 | Gabriella Anne Acosta | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-07-30 |
| 1861010670 | Sidney Marie Resmondo | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-07-08 |
| 1912523481 | Timothy Bondell | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-06-22 |
| 1891319075 | Melanie Marie Fyfe | Clinical Nurse Specialist | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-06-03 |
| 1780208876 | Jacqueline Nicole Arrison | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609498450 | Arnel Urbiztondo | Pathology | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-05-15 |
| 1558659649 | Anthony M Magliocco | Pathology | 12902 Usf Magnolia Dr, Mmg - Mod A, Tampa, FL 33612-9416 | 2011-07-11 |
| 1083857791 | Carlos Nicolas Prieto Granada | Pathology | 12901 Bruce B Downs Blvd, Tampa, FL 33612-4742 | 2009-04-10 |
| 1811145287 | Nicole Nicosia Esposito | Pathology | 12901 Bruce B Downs Blvd, Mdc 11, Tampa, FL 33612-4742 | 2008-08-28 |
| 1780845008 | Ozlen Saglam | Pathology | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2008-06-19 |
| 1497978118 | Rawia S Yassin | Pathology | 4225 E Fowler Ave, Tampa, FL 33617-2026 | 2007-04-11 |
| 1164645768 | Jose Antonio Rosa-sierra | Pathology | 4225 E Fowler Ave, Tampa, FL 33617-2026 | 2007-04-11 |
| 1063535888 | Craig Glenn Hall | Pathology | 5610 W La Salle St, Suite 100, Tampa, FL 33607-1770 | 2007-04-08 |
| 1831248152 | Peter John Dawson | Pathology | 13000 Bruce B Downs Blvd, Suite 1d-179, Tampa, FL 33612-4745 | 2007-01-09 |
| 1669405080 | Ardeshir Hakam | Pathology | 5002 W Lemon St, Tampa, FL 33609-1104 | 2006-07-09 |
| Find all providers in TAMPA | ||||
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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.