Individual
ALFREDO HERNANDEZ DORREGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5600 SW 135TH AVE, MIAMI, FL 33183-5182
(305) 303-5912
Mailing address
12249 SW 14TH LN APT 1401, MIAMI, FL 33184-2877
(305) 213-3022
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-123059
FL
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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