Organization
ILIET MED & SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILIET HERNANDEZ APRN (MANAGING MEMBER)
(786) 542-7535
Entity
Organization
Contact information
Practice address
1571 NW 13TH CT, MIAMI, FL 33125-1605
(786) 542-7535
(305) 317-6604
Mailing address
1571 NW 13TH CT, MIAMI, FL 33125-1605
(786) 542-7535
(305) 317-6604
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
12/30/2025
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