Individual
JAVIER ALBERTO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1640 BORO PL, MC LEAN, VA 22102-3612
(804) 585-6909
Mailing address
11201 NW 89TH ST APT 109, DORAL, FL 33178-2366
(786) 445-2024
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H655421722470
—
FL
Enumeration date
03/30/2020
Last updated
08/27/2020
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