Provider Demographics
NPI:1679848816
Name:HERNANDEZ, ALBERTO MARTIN (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MR
First Name:ALBERTO
Middle Name:MARTIN
Last Name:HERNANDEZ
Suffix:
Gender:
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
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Mailing Address - Street 1:3510 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-3859
Mailing Address - Country:US
Mailing Address - Phone:305-576-1234
Mailing Address - Fax:
Practice Address - Street 1:1800 SW 1ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1960
Practice Address - Country:US
Practice Address - Phone:305-576-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-21
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9100730363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant