Individual
ROBISLEY HERNANDEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SAC
Contact information
Practice address
2535 SW 11TH ST, MIAMI, FL 33135-4809
(786) 262-3072
Mailing address
2535 SW 11TH ST, MIAMI, FL 33135-4809
(786) 262-3072
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-310
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33050166
—
FL
Enumeration date
05/26/2017
Last updated
07/21/2022
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