Healthcare Provider Details

I. General information

NPI: 1114735503
Provider Name (Legal Business Name): FRANCISCO O HERNANDEZ MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2024
Last Update Date: 12/20/2024
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13391 SW 34TH ST
MIAMI FL
33175-6908
US

IV. Provider business mailing address

13391 SW 34TH ST
MIAMI FL
33175-6908
US

V. Phone/Fax

Practice location:
  • Phone: 786-286-3409
  • Fax: 305-413-4209
Mailing address:
  • Phone: 786-286-3409
  • Fax: 305-413-4209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANCISCO OMAR HERNANDEZ
Title or Position: PRESIDDENT
Credential: MD
Phone: 786-286-3409