Provider Demographics
NPI:1255010997
Name:HERNANDEZ, SOLANGEL
Entity type:Individual
Prefix:
First Name:SOLANGEL
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1855 W 60TH ST APT 247
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7510
Mailing Address - Country:US
Mailing Address - Phone:786-302-7251
Mailing Address - Fax:
Practice Address - Street 1:13205 SW 137TH AVE STE 212
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5335
Practice Address - Country:US
Practice Address - Phone:786-732-6298
Practice Address - Fax:786-732-6278
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-11
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant