Provider Demographics
NPI:1922146364
Name:HERNANDEZ, ROBERT BARBARITO (PSYD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:BARBARITO
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1395 BRICKELL AVE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3353
Mailing Address - Country:US
Mailing Address - Phone:786-426-1849
Mailing Address - Fax:786-228-0389
Practice Address - Street 1:1395 BRICKELL AVE
Practice Address - Street 2:SUITE 800
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3353
Practice Address - Country:US
Practice Address - Phone:786-426-1849
Practice Address - Fax:786-228-0389
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7062103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL308662OtherAVMED
FL308662OtherAVMED