Provider Demographics
NPI:1154077220
Name:HERNANDEZ CANETE, RAUL (FNP-C)
Entity Type:Individual
Prefix:
First Name:RAUL
Middle Name:
Last Name:HERNANDEZ CANETE
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:RAUL
Other - Middle Name:
Other - Last Name:HERNANDEZ CANETE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:11113 NW 7TH ST APT 103
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-7627
Mailing Address - Country:US
Mailing Address - Phone:832-960-1233
Mailing Address - Fax:
Practice Address - Street 1:11113 NW 7TH ST APT 103
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-7627
Practice Address - Country:US
Practice Address - Phone:832-960-1233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-26
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF02220783363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily