DR. LAZARO ANDRES HERNANDEZ MD NPI 1619904562

NPI Information

NPI: 1619904562
Provider Name: DR. LAZARO ANDRES HERNANDEZ, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

CLIA Number: 10D0290158

Address:
2309 W M L KING BLVD
SUITE 1
TAMPA, FL
ZIP 33607
Phone: (813) 879-2778
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DR. Lazaro Andres Hernandez, MD is a gynecology obstetrics gynecology in Tampa, FL. DR. Lazaro Andres Hernandez, MD NPI is 1619904562. 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:

2309 W M L KING BLVD
SUITE 1
TAMPA, FL
ZIP 33607
Phone: (813) 879-2778
Fax: (813) 877-6761

The CLIA number assigned to this NPI record is 10D0290158 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 7/8/2007.

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	207VG0400X	Obstetrics & Gynecology	Gynecology	ME019886	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	D53713	MEDICARE UPIN
2	4129415	OTHER		AETNA
3	29768	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
4	18189	OTHER		STAYWELL

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

NPI Synchronization or Removal

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