Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | ME-90666 | FL |
Y | 111NI0900X | Internist | ME-90666 | FL |
N | 207RG0300X | Geriatric Medicine | ME-90666 | FL |
NPI | 1114020534 |
---|---|
Provider Name | Saleh Hernandez-Cassis |
First Address | Miami, FL 33126-2051 |
Second Address | Miami, FL 33196-1554 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 13/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
272459600 | (05) | FL |
I-15501 | (02) |