Individual
MARLENE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
7000 SW 62ND AVE, SUITE 300, SOUTH MIAMI, FL 33143-4716
(305) 284-7500
Mailing address
14120 SW 147TH CT, MIAMI, FL 33196-5045
(786) 242-9595
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN386
FL
282N00000X
General Acute Care Hospital
17992
PR
Other
Enumeration date
04/07/2011
Last updated
05/23/2011
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