Hernandez, Rafael

Hernandez, Rafael is an sole proprietor health care provider with primary practice located at 10570 S Us Highway 1 Suite 102, Port Saint Lucie FL 34952-5606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Hernandez, Rafael can be contacted via phone (772) 828-6992.

Contact Information

Primary practice address
10570 S Us Highway 1 Suite 102 Port Saint Lucie FL 34952-5606
Phone: (772) 828-6992
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X ME83014 Florida

Profile Details

NPI number 1417407958
LBN Legal business name Hernandez, Rafael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2016
Last updated Oct 7th, 2016 - about 8 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.

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