Healthcare Provider Details

I. General information

NPI: 1013294289
Provider Name (Legal Business Name): MARIA ALEJANDRA HERNANDEZ OT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2011
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13155 SW 134TH ST STE 218-219
MIAMI FL
33186-4486
US

IV. Provider business mailing address

9712 SW 134TH PL
MIAMI FL
33186-2259
US

V. Phone/Fax

Practice location:
  • Phone: 305-316-5852
  • Fax: 866-277-7480
Mailing address:
  • Phone: 305-316-5852
  • Fax: 866-277-7480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT27084
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: