Individual
KEMELL HERNANDEZ CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7100 SW 99TH AVE STE 102B, MIAMI, FL 33173-4668
(786) 564-6444
Mailing address
7100 SW 99TH AVE STE 102B, MIAMI, FL 33173-4668
(786) 564-6444
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128222800
—
FL
05
—
129343200
—
FL
Enumeration date
08/28/2025
Last updated
04/16/2026
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