Healthcare Provider Details

I. General information

NPI: 1811985708
Provider Name (Legal Business Name): ROBERTO ALEJANDRO HERNANDO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9350 SUNSET DR STE 151
MIAMI FL
33173-3286
US

IV. Provider business mailing address

9350 SUNSET DR STE 151
MIAMI FL
33173-3286
US

V. Phone/Fax

Practice location:
  • Phone: 305-274-9206
  • Fax: 305-274-9254
Mailing address:
  • Phone: 786-548-1022
  • Fax: 786-542-5326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME87473
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: