Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME122163 | FL |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 25MA09395000 | NJ |
NPI | 1417282971 |
---|---|
Provider Name | Dr. Victor Hugo Hernandez |
First Address | Miami, FL 33136-1003 |
Second Address | Miami, FL 33136-1003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2009 |
Last Update Date | 05/01/2015 |