Healthcare Provider Details

I. General information

NPI: 1982527362
Provider Name (Legal Business Name): HERNANDEZ HEALTH & WELLNESS CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 E 10TH AVE
HIALEAH FL
33010-4645
US

IV. Provider business mailing address

835 E 10TH AVE
HIALEAH FL
33010-4645
US

V. Phone/Fax

Practice location:
  • Phone: 305-315-4196
  • Fax:
Mailing address:
  • Phone: 305-315-4196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: ELSA HERNANDEZ
Title or Position: OWNER
Credential:
Phone: 305-315-4196