Doctor Name: | DR. ALEIDA MAXIMA HERNANDEZ |
NPI Number: | 1619940772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | ME66407 |
Business Practice Address: | 1470 Nw 107th Ave Suite F Doral, FL - 331722744 |
Business Phone Number: | 3055948666 |
Business Fax Number: | 3055940088 |
Mailing Address: | 1470 Nw 107th Ave, Suite F DORAL |
State: | FL |
Postal Code: | 331722744 |
Phone Number: | 3055948666 |
Fax Number: | 3055940088 |
NPI Enumeration Date: | 02/09/2006 |
NPI Last Update Date: | 02/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME66407 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |