MEDICARE: MERCEDEZ DE LA CARIDAD 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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1538975446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERCEDEZ DE LA CARIDAD HERNANDEZ

Provider Business Mailing Address
First Line	:	777 NW 72ND AVE STE 1083
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3176
Country	:	US
Telephone Number	:	305-342-7643
Fax Number	:

Provider Business Practice Location Address
First Line	:	6147 HELLMAN AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-7796
Country	:	US
Telephone Number	:	239-302-0937
Fax Number	:

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

Provider Enumeration Date	:	12/05/2024
Last Update Date	:	12/05/2024

Similar Medicare Providers

1104866417 — PUBLIX SUPER MARKETS INC
Practice Location Address:

11851 PALM BEACH BLVD
FORT MYERS, FL
33905-5912

Practice Phone: 239-690-9570
Practice Fax: 239-690-9576

1285569962 — CELESTE OLSON MBA, RDN, LDN, CNSC
Practice Location Address:

8931 COLONIAL CENTER DR
FORT MYERS, FL
33905-7809

Practice Phone: 239-343-9500
Practice Fax:

1962515924 — HOOSHANG MICHAEL BOLOOKI MD
Practice Location Address:

8960 COLONIAL CENTER DR , SUITE 302
FORT MYERS, FL
33905

Practice Phone: 239-343-9700
Practice Fax: 239-343-9699

1720621600 — ASHLEY LEONARD PA
Practice Location Address:

8931 COLONIAL CENTER DR STE 400
FORT MYERS, FL
33905-7809

Practice Phone: 239-343-9500
Practice Fax:

1053204867 — DYLAN EDWARD ROBBINS
Practice Location Address:

3210 CHAMPION RING RD UNIT 1115
FORT MYERS, FL
33905-5770

Practice Phone: 256-527-8615
Practice Fax:

1447182761 — TYLER JACKSON NICHOLS
Practice Location Address:

9160 FORUM CORPORATE PKWY STE 350
FORT MYERS, FL
33905-7808

Practice Phone: 941-525-4093
Practice Fax:

Directions to “ MERCEDEZ DE LA CARIDAD HERNANDEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.