Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | ME145561 | FL |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | ME145561 | FL |
NPI | 1235494402 |
---|---|
Provider Name | Dr. Ricardo Javier Hernandez |
First Address | Miami, FL 33133-4219 |
Second Address | Miami, FL 33133-4219 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2012 |
Last Update Date | 01/02/2022 |