Doctor Name: | ALICE W HERNANDEZ-BEM |
NPI Number: | 1205875291 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 39574 |
Business Practice Address: | 1701 Ne 164th St North Miami Beach, FL - 331624018 |
Business Phone Number: | 3059492000 |
Business Fax Number: | |
Mailing Address: | Po Box 144598, CORAL GABLES |
State: | FL |
Postal Code: | 331144598 |
Phone Number: | 3059492000 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 39574 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |