Individual
ROBERTO DANIEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
489 HIALEAH DR, SUITE 10, HIALEAH, FL 33010-5320
(786) 953-6302
Mailing address
15705 MIAMI LAKEWAY N APT 219, HIALEAH, FL 33014-2197
(786) 985-7423
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002538600
—
FL
Enumeration date
05/20/2011
Last updated
05/20/2011
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