MEDICARE: VERONICA CECILIA HERNANDEZ MENADIER RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach	9402783	FL

General Provider Information

NPI Number	:	1043091465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA CECILIA HERNANDEZ MENADIER RN

Provider Business Mailing Address
First Line	:	9889 NW 123RD TER
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-2966
Country	:	US
Telephone Number	:	786-712-8289
Fax Number	:

Provider Business Practice Location Address
First Line	:	9889 NW 123RD TER
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-2966
Country	:	US
Telephone Number	:	786-712-8289
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2023
Last Update Date	:	10/11/2023

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