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MARTHA HERNANDEZ-ILLAS PA NPI 1164674040


NPI Information

NPI: 1164674040
Provider Name: MARTHA HERNANDEZ-ILLAS PA
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
4005 NW 114TH AVE
SUITE 3
DORAL, FL
ZIP 33178
Phone: (305) 251-3991
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MARTHA HERNANDEZ-ILLAS PA is a rheumatology internal medicine in Doral, FL. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. MARTHA HERNANDEZ-ILLAS PA NPI is 1164674040. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4005 NW 114TH AVE
SUITE 3
DORAL, FL
ZIP 33178-374
Phone: (305) 251-3991
Fax: (305) 251-7982

The provider's authorized official is Martha Hernandez-illas .
The authorized official title is Medical Doctor and has the following contact phone number (305) 251-3991.

The enumeration date for this NPI number is 10/22/2008 and was last updated on 10/22/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyME87694FLORIDAYes

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: 11/14/2023

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