Individual
JORGE N. HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5955 PONCE DE LEON BLVD., CORAL GABLES, FL 33146
(305) 661-1515
(305) 662-3723
Mailing address
5955 PONCE DE LEON BLVD., CORAL GABLES, FL 33146
(305) 661-1515
(305) 662-3723
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME101425
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000 448 400
—
FL
Enumeration date
07/01/2008
Last updated
07/09/2019
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