Provider Demographics
NPI:1457394512
Name:HERNANDEZ, DANIEL (APRN)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:DANIEL
Other - Middle Name:
Other - Last Name:HERNANDEZ-BLAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:1669 SIESTA DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-5933
Mailing Address - Country:US
Mailing Address - Phone:787-238-5263
Mailing Address - Fax:
Practice Address - Street 1:2001 MANATEE AVE E STE 103
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1620
Practice Address - Country:US
Practice Address - Phone:941-803-8395
Practice Address - Fax:941-803-8158
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11029604363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily