Most Relevant Information
Provider Data
| NPI Number: | 1003456021 |
| Provider Name: | CARLOS HERNANDEZ VAZQUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 9509518 |
Most Important Dates
| Enumeration Date: | 01/07/2020 |
| Last Updated: | 05/02/2023 |
Provider Practice Location
9250 NW 36TH ST STE 420
DORAL
FL
331782775
Practice Location Phone/Fax
| Phone: | 3052662929 |
| Fax: |
Provider Mailing Location
9250 NW 36TH ST STE 410
DORAL
FL
331782775
Provider Mailing Phone/Fax
| Phone: | 7864982822 |
| Fax: |