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Individual

DR. RAFAEL M HERNANDEZ SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1385 CORAL WAY, 3RD FLOOR, MIAMI, FL 33145-2941
(305) 854-3307
(305) 854-3130
Mailing address
1385 CORAL WAY, 3RD FLOOR, MIAMI, FL 33145-2941
(305) 854-3307
(305) 854-3130

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME 23635
FL
207W00000X
Ophthalmology Physician
Primary
ME23635
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051779800
FL
Enumeration date
01/10/2007
Last updated
09/12/2018
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