Individual
LUIS RENE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9440 W FLAGLER ST APT 303, MIAMI, FL 33174-2041
(786) 683-8773
Mailing address
9440 W FLAGLER ST APT 303, MIAMI, FL 33174-2041
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
32892
FL
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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