MIRIAM N HERNANDEZ NPI 1700464849

NPI Information

NPI: 1700464849
Provider Name: MIRIAM N HERNANDEZ
Classification: Clinic/Center - 261QM2800X
Entity Type: Individual

Specialization: Methadone

Address:
23 BRADSTON ST
BOSTON, MA
ZIP 02118
Phone: (617) 318-6480
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Miriam N Hernandez is a methadone clinic center in Boston, MA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. Miriam N Hernandez NPI is 1700464849. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

23 BRADSTON ST
BOSTON, MA
ZIP 02118-703
Phone: (617) 318-6480
Fax: (617) 427-1263

The enumeration date for this NPI number is 3/30/2021 and was last updated on 3/30/2021.

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	261QM2800X	Clinic/Center	Methadone	LN64374	MASSACHUSETTS	Yes

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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