Individual
RAIZA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.A
Contact information
Practice address
8403 SW 137TH AVE, MIAMI, FL 33183-4074
(786) 281-2434
Mailing address
8403 SW 137TH AVE, MIAMI, FL 33183-4074
(786) 281-2434
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
15-244
CO
Other
Enumeration date
06/15/2015
Last updated
06/16/2015
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