| Doctor Name: | DR. OTNIEL HERNANDEZ |
| NPI Number: | 1003000720 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DNP |
| License Number: | ARNP3081082 |
| Business Practice Address: | 1275 W 75 Place Suite 422 Hialeah, FL - 330127100 |
| Business Phone Number: | 3056762300 |
| Business Fax Number: | 8886010076 |
| Mailing Address: | 1275 W 47th Pl, Suite 422 HIALEAH |
| State: | FL |
| Postal Code: | 33012 |
| Phone Number: | 3056762300 |
| Fax Number: | 8886010076 |
| NPI Enumeration Date: | 09/06/2007 |
| NPI Last Update Date: | 03/30/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP3081082 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |