Healthcare Provider Details

I. General information

NPI: 1992583231
Provider Name (Legal Business Name): CESAR ALEJANDRO HERNANDEZ CASTRO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6790 NW 186TH ST APT 407
HIALEAH FL
33015-3358
US

IV. Provider business mailing address

6790 NW 186TH ST APT 407
HIALEAH FL
33015-3358
US

V. Phone/Fax

Practice location:
  • Phone: 786-782-5711
  • Fax:
Mailing address:
  • Phone: 786-782-5711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2827280
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: