Provider Demographics
NPI:1003007881
Name:HERNANDEZ, ALFREDO (MS, LMHC, Q-S)
Entity Type:Individual
Prefix:MR
First Name:ALFREDO
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:MS, LMHC, Q-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7171 SW 62ND AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4723
Mailing Address - Country:US
Mailing Address - Phone:305-270-5305
Mailing Address - Fax:305-270-5306
Practice Address - Street 1:7171 SW 62ND AVE STE 300
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4723
Practice Address - Country:US
Practice Address - Phone:305-270-5305
Practice Address - Fax:305-270-5306
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9171101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health