| Doctor Name: | JESUS G HERMIDA |
| NPI Number: | 1295785269 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME92392 |
| Business Practice Address: | 2140 W 68th St 204b Hialeah, FL - 330161815 |
| Business Phone Number: | 3058283997 |
| Business Fax Number: | 3058284696 |
| Mailing Address: | 2140 W 68th St, 204b HIALEAH |
| State: | FL |
| Postal Code: | 330161815 |
| Phone Number: | 3058283997 |
| Fax Number: | 3058284696 |
| NPI Enumeration Date: | 05/11/2006 |
| NPI Last Update Date: | 09/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME92392 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |