Provider Demographics
NPI:1659705465
Name:HERNANDEZ, CHRISTIAN ARMANDO (OD)
Entity Type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:ARMANDO
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1732 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3602
Mailing Address - Country:US
Mailing Address - Phone:954-432-7711
Mailing Address - Fax:954-432-8017
Practice Address - Street 1:1732 UNIVERSITY DRIVE
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024
Practice Address - Country:US
Practice Address - Phone:954-432-7711
Practice Address - Fax:954-432-8017
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4798152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist