=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124162458
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ELIZABETH CARIDAD HERNANDEZ DPM
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/19/2007
-----------------------------------------------------
Last Update Date | 01/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 344 W 65TH ST STE 203
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33012-6719
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-644-4900
-----------------------------------------------------
Fax | 888-508-9925
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 344 W 65TH ST STE 203
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33012-6719
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-644-4900
-----------------------------------------------------
Fax | 888-508-9925
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213ES0103X
-----------------------------------------------------
Taxonomy Name | Foot & Ankle Surgery Podiatrist
-----------------------------------------------------
License Number | PO 3241
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------