Doctor Name: | MR. ALFREDO HERNANDEZ |
NPI Number: | 1003007881 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., LMHC |
License Number: | MH9171 |
Business Practice Address: | 11040 N Kendall Dr Ste C-100 Miami, FL - 331761272 |
Business Phone Number: | 3052705305 |
Business Fax Number: | 3052705306 |
Mailing Address: | 11040 N Kendall Dr Ste C-100, MIAMI |
State: | FL |
Postal Code: | 331761272 |
Phone Number: | 3052705305 |
Fax Number: | 3052705306 |
NPI Enumeration Date: | 08/06/2007 |
NPI Last Update Date: | 08/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH9171 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |