Individual
DR. RAQUEL G. HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D, MPH
Contact information
Practice address
4117 W KENSINGTON AVE, TAMPA, FL 33629-8534
(813) 495-2778
(727) 767-8804
Mailing address
4117 W KENSINGTON AVE, TAMPA, FL 33629-8534
(813) 495-2778
(727) 767-8804
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME105045
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001382500
—
FL
01
—
146FP
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/29/2007
Last updated
03/25/2014
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