Individual
ALIAN HERNANDEZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
167 W 23RD ST, HIALEAH, FL 33010-2211
(305) 823-3312
Mailing address
5345 SW 115TH AVE, MIAMI, FL 33165-6821
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
140683
FL
Other
Enumeration date
05/10/2016
Last updated
09/03/2019
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