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NPI Code Detail

MEDICARE: DR. SERGIO HERNANDEZ BORGES

MEDICARE: DR. SERGIO HERNANDEZ BORGES
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
1207R00000XInternal Medicine PhysicianME 126433FL

General Provider Information

NPI Number : 1043600414
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SERGIO HERNANDEZ BORGES
Provider Business Mailing Address
First Line : PO BOX 734951
Second Line :
City : CHICAGO
State : IL
Zip : 60673-4951
Country : US
Telephone Number : 702-899-0595
Fax Number : 702-977-1496
Provider Business Practice Location Address
First Line : 1475 W 49TH PL
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3113
Country : US
Telephone Number : 305-558-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2015
Last Update Date : 12/15/2025

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