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NPI Code Detail

MEDICARE: DR. NELSON D HERNANDEZ MD

MEDICARE: DR. NELSON D HERNANDEZ MD
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
12084P0800XPsychiatry PhysicianME0061921FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285625079
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NELSON D HERNANDEZ MD
Provider Business Mailing Address
First Line : 4225 SW 72ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33155-4510
Country : US
Telephone Number : 305-854-7952
Fax Number : 305-854-7953
Provider Business Practice Location Address
First Line : 4225 SW 72ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33155-4510
Country : US
Telephone Number : 305-854-7952
Fax Number : 305-854-7953
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 08/15/2025

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Directions to “ DR. NELSON D HERNANDEZ MD” Practice Location

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