| Doctor Name: | MS. RAISA E HERNANDEZ |
| NPI Number: | 1043420771 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 4923310001 |
| Business Practice Address: | 9820 Nw 80th Ave # Bay6-d Hialeah Gardens, FL - 330162330 |
| Business Phone Number: | 7866214526 |
| Business Fax Number: | 7866214527 |
| Mailing Address: | 9820 Nw 80th Ave # Bay6-d, HIALEAH GARDENS |
| State: | FL |
| Postal Code: | 330162330 |
| Phone Number: | 7866214526 |
| Fax Number: | 7866214527 |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 07/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 4923310001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |