| Dr Oscar L Hernandez Llc | |
|
14221 Sw 120th St Ste 129 Miami FL 33186 | |
| (305) 279-1515 | |
| (305) 279-1219 |
| Full Name | Dr Oscar L Hernandez Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14221 Sw 120th St, Miami, Florida |
| Authorized Official Name and Position | Oscar L Hernandez (PRESIDENT/OWNER) |
| Authorized Official Contact | 3052791515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Oscar L Hernandez Llc 14221 Sw 120th St Ste 129 Miami FL 33186 Ph: (305) 279-1515 | Dr Oscar L Hernandez Llc 14221 Sw 120th St Ste 129 Miami FL 33186 Ph: (305) 279-1515 |
| NPI Number | 1083699490 |
|---|---|
| Provider Enumeration Date | 12/08/2005 |
| Last Update Date | 07/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083699490 | NPI | - | NPPES |
| 063586300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME57645 (Florida) | Primary |
| 208000000X | Pediatrics | ME57645 (Florida) | Secondary |
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