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NPI Code Detail

MEDICARE: HERNANDO GIRALDO MD INC

MEDICARE: HERNANDO GIRALDO MD INC
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
1261QH0100XHealth Service Clinic/Center
2207QA0505XAdult Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235323486
Entity Type Code : Organization
Provider Name (Legal Business Name) : HERNANDO GIRALDO MD INC
Provider Business Mailing Address
First Line : 200 E HALLANDALE BEACH BLVD
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-5525
Country : US
Telephone Number : 954-362-8677
Fax Number : 954-458-8167
Provider Business Practice Location Address
First Line : 4765 W ATLANTIC AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-3838
Country : US
Telephone Number : 561-453-2273
Fax Number :
Authorized Official
Title or Position : CEO
Name : VICTORIA SAMUELSON
Credential :
Telephone Number : 561-859-5052
Provider Enumeration Date : 08/30/2007
Last Update Date : 09/20/2023

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Directions to “HERNANDO GIRALDO MD INC ” Practice Location

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