Provider Demographics
NPI:1164184461
Name:PIORNO HERNANDEZ, EYDER
Entity Type:Individual
Prefix:MR
First Name:EYDER
Middle Name:
Last Name:PIORNO HERNANDEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:877 NW 132ND AVE W
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33182-2312
Mailing Address - Country:US
Mailing Address - Phone:786-307-7523
Mailing Address - Fax:
Practice Address - Street 1:877 NW 132ND AVE W
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33182-2312
Practice Address - Country:US
Practice Address - Phone:786-307-7523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11013648363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily