| Liliam Hernandez MD PA | |
|
15380 Sw 57th Ter Miami FL 33193-2515 | |
| (239) 789-8101 | |
| (305) 702-9442 |
| Full Name | Liliam Hernandez MD PA |
|---|---|
| Speciality | Family Medicine |
| Location | 15380 Sw 57th Ter, Miami, Florida |
| Authorized Official Name and Position | Liliam Hernandez (PRESIDENT) |
| Authorized Official Contact | 2397898101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liliam Hernandez MD PA 15380 Sw 57th Ter Miami FL 33193-2515 Ph: (239) 789-8101 | Liliam Hernandez MD PA 15380 Sw 57th Ter Miami FL 33193-2515 Ph: (239) 789-8101 |
| NPI Number | 1932408648 |
|---|---|
| Provider Enumeration Date | 03/21/2011 |
| Last Update Date | 06/25/2025 |
| Certification Date | 06/25/2025 |
| Medicare PECOS PAC ID | 2860670593 |
|---|---|
| Medicare Enrollment ID | O20250625004026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932408648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Liliam Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194913806 PECOS PAC ID: 6709929748 Enrollment ID: I20100129000746 |
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