Hernandez, Richard E

Hernandez, Richard E is an individual health care provider with primary practice located at 7765 Sw 87Th Ave Suite 105, Miami FL 33173-2596. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Hernandez, Richard E can be contacted via phone (305) 274-0808.

Contact Information

Primary practice address
7765 Sw 87Th Ave Suite 105 Miami FL 33173-2596
Fax: (305) 274-8311
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0043730 Florida

Profile Details

NPI number 1235104167
LBN Legal business name Hernandez, Richard E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Aug 27th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235104167 NPPES
Florida MEDICAID 051968500

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