Healthcare Provider Details
I. General information
NPI: 1285052043
Provider Name (Legal Business Name): DUNIA LLAPUR HERNANDEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/30/2014
Last Update Date: 09/30/2020
Certification Date: 09/30/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2600 W FLAGLER ST
MIAMI FL
33135-1425
US
IV. Provider business mailing address
6101 BLUE LAGOON DR STE 400
MIAMI FL
33126-2051
US
V. Phone/Fax
- Phone: 786-541-7415
- Fax: 786-541-7415
- Phone: 305-500-2000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | 0 |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | ME131701 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: