Individual
ANNALIE HERNANDEZ DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4302 ALTON RD, MIAMI BEACH, FL 33140-2891
(305) 674-6797
Mailing address
24865 SW 128TH PL, HOMESTEAD, FL 33032-9003
(786) 817-3383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME160377
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2020
Last updated
09/24/2023
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