Organization
MARTHA HERNANDEZ-ILLAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA HERNANDEZ-ILLAS (MEDICAL DOCTOR)
(305) 251-3991
Entity
Organization
Contact information
Practice address
4005 NW 114TH AVE, SUITE 3, DORAL, FL 33178-4374
(305) 251-3991
(305) 251-7982
Mailing address
4005 NW 114TH AVE, SUITE 3, DORAL, FL 33178-4374
(305) 251-3991
(305) 251-7982
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME87694
FL
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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