Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | ME90673 | FL |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 13502 | PR |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | ME90673 | FL |
NPI | 1114930898 |
---|---|
Provider Name | Dr. Jose Arturo Hernandez-Robles |
First Address | Atlanta, GA 30384-4069 |
Second Address | Miramar, FL 33029-5593 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 28/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03383 | BLUE CROSS BLUE SHIELD (01) | FL |
272662900 | (05) | FL |
H71994 | (02) | FL |