MEDICARE: HUGO 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	208800000X	Urology Physician	0022224	FL

General Provider Information

NPI Number	:	1558379313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUGO HERNANDEZ MD

Provider Business Mailing Address
First Line	:	10111 W FOREST HILL BLVD
Second Line	:	#200
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6108
Country	:	US
Telephone Number	:	561-798-0341
Fax Number	:	561-798-1304

Provider Business Practice Location Address
First Line	:	10111 W FOREST HILL BLVD
Second Line	:	#200
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6108
Country	:	US
Telephone Number	:	561-798-0341
Fax Number	:	561-798-1304

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

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	07/08/2007

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Directions to “ HUGO HERNANDEZ MD” Practice Location

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