MIRTA HERNANDEZ DPM PA NPI 1982891834

NPI Information

NPI: 1982891834
Provider Name: MIRTA HERNANDEZ, DPM PA
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
14871 SW 39TH TER
MIAMI, FL
ZIP 33185
Phone: (305) 984-3865
Get Directions

MIRTA HERNANDEZ, DPM PA is a primary podiatric medicine podiatrist in Miami, FL. MIRTA HERNANDEZ, DPM PA NPI is 1982891834. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14871 SW 39TH TER
MIAMI, FL
ZIP 33185-726
Phone: (305) 984-3865
Fax: (305) 207-1587

The provider's authorized official is Mirta Hernandez .
The authorized official title is Podiatrist/president and has the following contact phone number (305) 984-3865.

The enumeration date for this NPI number is 9/25/2007 and was last updated on 9/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine	PO2848	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	340317300	MEDICAID	FLORIDA
2	K5491	OTHER	FLORIDA	MEDICARE GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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