Provider Demographics
NPI:1043091465
Name:HERNANDEZ MENADIER, VERONICA CECILIA (RN)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:CECILIA
Last Name:HERNANDEZ MENADIER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9889 NW 123RD TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-2966
Mailing Address - Country:US
Mailing Address - Phone:786-712-8289
Mailing Address - Fax:
Practice Address - Street 1:9889 NW 123RD TER
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-2966
Practice Address - Country:US
Practice Address - Phone:786-712-8289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9402783171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty