Hernandez, Mirta

Hernandez, Mirta is an sole proprietor health care provider with primary practice located at 14871 Sw 39Th Ter , Miami FL 33185-4726. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Hernandez, Mirta can be contacted via phone (305) 984-3865.

Contact Information

Primary practice address
14871 Sw 39Th Ter Miami FL 33185-4726
Phone: (305) 984-3865
Fax: (305) 207-1587
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO2848 Florida

Profile Details

NPI number 1730250457
LBN Legal business name Hernandez, Mirta
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Sep 8th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730250457 NPPES
Florida MEDICAID 340317300

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