Provider Demographics
NPI:1346688231
Name:HERNANDEZ OQUET, RAFAEL ENRIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:ENRIQUE
Last Name:HERNANDEZ OQUET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 NW 14TH ST # 1134
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2107
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:802-375-7192
Practice Address - Street 1:1400 NW 12TH AVE # 781
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1087
Practice Address - Country:US
Practice Address - Phone:305-243-1960
Practice Address - Fax:802-375-7192
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME127659207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine