Healthcare Provider Details

I. General information

NPI: 1669398178
Provider Name (Legal Business Name): CARLHA KARINA HERNANDEZ PANAIFO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3452 SW 8TH ST
MIAMI FL
33135-4108
US

IV. Provider business mailing address

1360 NW 22ND AVE APT 11
MIAMI FL
33125-2557
US

V. Phone/Fax

Practice location:
  • Phone: 786-568-3805
  • Fax: 786-329-6888
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI8880
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: