MEDICARE: OSCAR L. HERNANDEZ MD

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	207R00000X	Internal Medicine Physician	ME57645	FL

General Provider Information

NPI Number	:	1477741502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSCAR L. HERNANDEZ MD

Provider Business Mailing Address
First Line	:	6705 S RED RD STE 512
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-3644
Country	:	US
Telephone Number	:	305-257-8041
Fax Number	:	786-883-0268

Provider Business Practice Location Address
First Line	:	6705 S RED RD STE 512
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-3644
Country	:	US
Telephone Number	:	305-257-8041
Fax Number	:	786-883-0268

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

Provider Enumeration Date	:	10/15/2007
Last Update Date	:	01/02/2023

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