Individual
MRS. VIVIAN P HERNANDEZ-TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
16371 NW 67TH AVE, MIAMI LAKES, FL 33014-6044
(786) 646-9280
Mailing address
16371 NW 67TH AVE, MIAMI LAKES, FL 33014-6044
(786) 646-9280
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
ME86608
FL
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
ME86606
FL
Other
Enumeration date
12/02/2006
Last updated
07/21/2022
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