MEDICARE: HELEN PULDON HERNANDEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225A00000X	Music Therapist

General Provider Information

NPI Number	:	1265284079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN PULDON HERNANDEZ

Provider Business Mailing Address
First Line	:	11575 CITY HALL PROMENADE UNIT 150
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-7585
Country	:	US
Telephone Number	:	305-748-3650
Fax Number	:

Provider Business Practice Location Address
First Line	:	11575 CITY HALL PROMENADE UNIT 150
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-7585
Country	:	US
Telephone Number	:	305-748-3650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2024
Last Update Date	:	04/04/2024

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Directions to “ HELEN PULDON HERNANDEZ ” Practice Location

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