MEDICARE: HERNANDEZ & SON CORP

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	333600000X	Pharmacy	PH0006042	FL

General Provider Information

NPI Number	:	1376512095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERNANDEZ & SON CORP

Provider Business Mailing Address
First Line	:	344 W 65TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-6719
Country	:	US
Telephone Number	:	305-558-3551
Fax Number	:	305-825-9420

Provider Business Practice Location Address
First Line	:	344 W 65TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-6719
Country	:	US
Telephone Number	:	305-558-3551
Fax Number	:	305-825-9420

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DANIEL HERNANDEZ
Credential	:
Telephone Number	:	305-822-6548

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	08/22/2020

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