Individual provider · NPI-1
Alberto Hernandez, PTA
Physical Therapy Assistant · Doral, FL
NPI number1215479233
StatusActive
Last updated in NPPESNov 8, 2016
Details
- NPI
- 1215479233
- Entity type
- Individual (NPI-1)
- Name
- Alberto Hernandez
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2016
- Last updated
- Nov 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA 27189 | FL | Yes |
Practice location
2600 Nw 87th Ave Ste 22Doral, FL 33172-1619
Phone 305-592-5555 · Fax 305-592-6067
Mailing address
46 Nw 50th AveMiami, FL 33126-5140
Phone 305-587-9374
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