| Doctor Name: | MIGUEL R HERNANDEZ |
| NPI Number: | 1366566689 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 5127 |
| Business Practice Address: | 3050 N Litchfield Rd Suite 100 Goodyear, AZ - 853957804 |
| Business Phone Number: | 6239355505 |
| Business Fax Number: | 6539355551 |
| Mailing Address: | Po Box 32490, PHOENIX |
| State: | AZ |
| Postal Code: | 850642490 |
| Phone Number: | 6022304478 |
| Fax Number: | 6022309962 |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 10/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5127 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |