Individual
JORGE HERNANDEZ MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1635 SW 107TH AVE STE A, MIAMI, FL 33165-7344
(786) 422-6525
(786) 621-7815
Mailing address
6100 BLUE LAGOON DR STE 365, MIAMI, FL 33126-7010
(786) 322-7333
(786) 347-5022
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
21116
PR
208D00000X
General Practice Physician
Primary
ACN1109
FL
Other
Enumeration date
09/11/2018
Last updated
06/26/2025
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