Healthcare Provider Details

I. General information

NPI: 1669383162
Provider Name (Legal Business Name): SASHA HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14737 SW 52ND TER
MIAMI FL
33185-4052
US

IV. Provider business mailing address

14737 SW 52ND TER
MIAMI FL
33185-4052
US

V. Phone/Fax

Practice location:
  • Phone: 786-202-5337
  • Fax:
Mailing address:
  • Phone: 786-202-5337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9462390
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: