Provider Demographics
NPI:1174020036
Name:HERNANDEZ DEL TORO, MERY
Entity Type:Individual
Prefix:
First Name:MERY
Middle Name:
Last Name:HERNANDEZ DEL TORO
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 1:710 NE 4TH PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5013
Mailing Address - Country:US
Mailing Address - Phone:786-427-0343
Mailing Address - Fax:786-697-0578
Practice Address - Street 1:710 NE 4TH PL
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-5013
Practice Address - Country:US
Practice Address - Phone:786-427-0343
Practice Address - Fax:305-742-2190
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-09
Last Update Date:2021-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician