Individual
DR. MAURICIO T HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11760 SW 40TH ST, SUITE 635, MIAMI, FL 33175-3582
(305) 220-2121
(305) 220-8787
Mailing address
PO BOX 830635, MIAMI, FL 33283-0635
(305) 220-2121
(305) 220-8787
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME53791
FL
Other
Enumeration date
12/02/2005
Last updated
02/01/2022
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