Hernandez-Illas, Martha
Hernandez-Illas, Martha is an individual health care provider with primary practice located at 5333 N Dixie Hwy Suite 110, Fort Lauderdale FL 33334. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Hernandez-Illas, Martha can be contacted via phone (954) 229-7030.Contact Information
Primary practice address
5333 N Dixie Hwy Suite 110
Fort Lauderdale FL 33334
Phone: (954) 229-7030
Fax: (954) 229-0963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | ME 87694 | Florida |
Profile Details
| NPI number | 1972517464 |
|---|---|
| LBN Legal business name | Hernandez-Illas, Martha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972517464 | NPPES |
| Other | P00215148 | RAILROAD MEDICARE | |
| Other | 01605 | RAILROAD MEDICARE |
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