| Iliana Hernandez Md Pa | |
|
1645 Ne 8th St Homestead FL 33033-4603 | |
| (305) 248-7474 | |
| (305) 242-4344 |
| Full Name | Iliana Hernandez Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1645 Ne 8th St, Homestead, Florida |
| Authorized Official Name and Position | Iliana Hernandez (PRESIDENT) |
| Authorized Official Contact | 3052487474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iliana Hernandez Md Pa 1645 Ne 8th St Homestead FL 33033-4603 Ph: (305) 248-7474 | Iliana Hernandez Md Pa 1645 Ne 8th St Homestead FL 33033-4603 Ph: (305) 248-7474 |
| NPI Number | 1932200953 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 04/19/2011 |
| Medicare PECOS PAC ID | 0547246456 |
|---|---|
| Medicare Enrollment ID | O20050621000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932200953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME 80606 (Florida) | Primary |
| Provider Name | Iliana Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649371766 PECOS PAC ID: 2264418177 Enrollment ID: I20050420000434 |
| Provider Name | Jorge Rafael Gonzalez Trasobares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497531057 PECOS PAC ID: 0042664740 Enrollment ID: I20230928004141 |
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