Individual
ALEJANDRO LICEA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11335 SW 28TH ST, MIAMI, FL 33165-2203
(786) 253-7610
Mailing address
11335 SW 28TH ST, MIAMI, FL 33165-2203
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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