Most Relevant Information
Provider Data
| NPI Number: | 1003213703 |
| Provider Name: | MARIA O HERNANDEZ MS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MH18570 |
Most Important Dates
| Enumeration Date: | 11/24/2014 |
| Last Updated: | 12/02/2020 |
Provider Practice Location
22790 SW 112TH AVE
MIAMI
FL
331707602
Practice Location Phone/Fax
| Phone: | 3052352616 |
| Fax: | 3052356178 |
Provider Mailing Location
22790 SW 112TH AVE
MIAMI
FL
331707602
Provider Mailing Phone/Fax
| Phone: | 3052352616 |
| Fax: | 3052356178 |