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NPI Code Detail

MEDICARE: KARINA MARIA HERNANDEZ CRUZ

MEDICARE: KARINA MARIA HERNANDEZ CRUZ
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
1106S00000XBehavior TechnicianRBT-25-472939FL

General Provider Information

NPI Number : 1790659837
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARINA MARIA HERNANDEZ CRUZ
Provider Business Mailing Address
First Line : 6145 LAKE WORTH RD STE A
Second Line :
City : GREENACRES
State : FL
Zip : 33463-3001
Country : US
Telephone Number : 561-421-0047
Fax Number : 561-421-0048
Provider Business Practice Location Address
First Line : 6145 LAKE WORTH RD FL 33463A
Second Line :
City : GREENACRES
State : FL
Zip : 33463-3001
Country : US
Telephone Number : 561-421-0047
Fax Number : 561-421-0048
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2025
Last Update Date : 05/27/2026

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