Healthcare Provider Details

I. General information

NPI: 1124162458
Provider Name (Legal Business Name): ELIZABETH CARIDAD HERNANDEZ DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

344 W 65TH ST STE 203
HIALEAH FL
33012-6719
US

IV. Provider business mailing address

344 W 65TH ST STE 203
HIALEAH FL
33012-6719
US

V. Phone/Fax

Practice location:
  • Phone: 305-644-4900
  • Fax: 888-508-9925
Mailing address:
  • Phone: 305-644-4900
  • Fax: 888-508-9925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO 3241
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: