Organization
TERESITA D HERNANDEZ MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESITA D HERNANDEZ MD (OWNER)
(305) 559-7330
Entity
Organization
Contact information
Practice address
10710 SW 34TH ST, MIAMI, FL 33165-3615
(305) 559-7330
(305) 223-4767
Mailing address
3400 SW 107TH AVE, MIAMI, FL 33165-3633
(305) 559-7330
(305) 223-4767
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME93489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274461900
—
FL
Enumeration date
05/20/2006
Last updated
10/23/2008
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