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Individual

LUIS HERNANDEZ RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7649 W COLONIAL DR STE 115, ORLANDO, FL 32818-7423
(407) 522-2080
(833) 963-0115
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(844) 630-0700
(877) 374-1924

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
022794
PR
208D00000X
General Practice Physician
15808
PR
208D00000X
General Practice Physician
Primary
ACN1458
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116026900
FL
Enumeration date
05/31/2022
Last updated
03/13/2026
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