DR. OTNIEL HERNANDEZ DNP NPI 1003000720

NPI Profile

NPI: 1003000720
Provider Name: DR. OTNIEL HERNANDEZ, DNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1275 W 47TH PL
SUITE 422
HIALEAH, FL
ZIP 33012
Get Directions

Phone: (305) 676-2300

DR. Otniel Hernandez, DNP is a family nurse practitioner in Hialeah, FL. DR. Otniel Hernandez, DNP NPI is 1003000720. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1275 W 47TH PL
SUITE 422
HIALEAH, FL
ZIP 33012-394
Phone: (305) 676-2300
Fax: (888) 601-0076

The NPI 1003000720 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The enumeration date for this NPI number is 9/6/2007 and was last updated on 5/3/2017.

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	363LF0000X	Nurse Practitioner	Family	ARNP3081082	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	308614300	MEDICAID	FLORIDA
2	AJ034Y	MEDICARE PIN	FLORIDA

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: 12/11/2019

NPI Synchronization or Removal

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