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1629903687 NPI number — CELINE HERNANDEZ DMD

NPI Number: 1629903687
Health Care Provider/Practitioner: CELINE HERNANDEZ DMD

Information about “1629903687” NPI (CELINE HERNANDEZ DMD) exists in 1629903687 in HTML format HTML  |  1629903687 in plain Text format TXT  |  1629903687 in PDF (Portable Document Format) PDF  |  1629903687 in an XML format XML  formats.

NPI Number : 1629903687 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629903687",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HERNANDEZ",
    "FirstName": "CELINE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HERNANDEZ GONZALEZ",
    "OtherFirstName": "CELINE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6020 NW 30TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIAMI",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33142-2228",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "786-380-6664",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7811 SW STATE ROAD 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OCALA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34476-3975",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-749-3231",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/12/2026",
    "LastUpdateDate": "06/12/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "DN31887",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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