Provider Demographics
NPI:1497875058
Name:HERNANDEZ, JULIO E (DMD)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:E
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 NE 24TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-4873
Mailing Address - Country:US
Mailing Address - Phone:305-572-1600
Mailing Address - Fax:305-690-0156
Practice Address - Street 1:350 NE 24TH ST STE 105
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-4873
Practice Address - Country:US
Practice Address - Phone:305-572-1600
Practice Address - Fax:305-690-0156
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2020-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN014046122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist