Provider Demographics
NPI:1033676093
Name:HERNANDEZ SOLER, LILIEN
Entity Type:Individual
Prefix:
First Name:LILIEN
Middle Name:
Last Name:HERNANDEZ SOLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5965 NW 113TH TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-6576
Mailing Address - Country:US
Mailing Address - Phone:786-352-0155
Mailing Address - Fax:
Practice Address - Street 1:5965 NW 113TH TER
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-6576
Practice Address - Country:US
Practice Address - Phone:786-352-0155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-26
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT19725225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist