Provider Demographics
NPI:1942463880
Name:HERNANDEZ, PLACIDO LUIS (ARNP)
Entity Type:Individual
Prefix:
First Name:PLACIDO
Middle Name:LUIS
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9380 SW 150TH ST
Mailing Address - Street 2:SUITE # 210
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7947
Mailing Address - Country:US
Mailing Address - Phone:305-256-5018
Mailing Address - Fax:305-256-5197
Practice Address - Street 1:9380 SW 150TH ST
Practice Address - Street 2:SUITE # 210
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-7947
Practice Address - Country:US
Practice Address - Phone:305-256-5018
Practice Address - Fax:305-256-5197
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL9228710363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health