Individual
LUIS E HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4471 NW 36TH ST STE 232, MIAMI SPRINGS, FL 33166-7289
(786) 391-3913
Mailing address
4471 NW 36TH ST STE 232, MIAMI SPRINGS, FL 33166-7289
(786) 391-3913
(786) 409-7239
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG06220084
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881229920
NP
FL
Enumeration date
11/04/2022
Last updated
11/04/2022
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