| Tatiana L Hernandez Md Pa | |
|
3633 Little Rd Suite # 103 Trinity FL 34655-1815 | |
| (727) 853-1800 | |
| (727) 853-1807 |
| Full Name | Tatiana L Hernandez Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 3633 Little Rd, Trinity, Florida |
| Authorized Official Name and Position | Jose David Hernandez (OFFICE MANAGER) |
| Authorized Official Contact | 7278531800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tatiana L Hernandez Md Pa 3633 Little Rd Suite # 103 Trinity FL 34655-1815 Ph: (727) 853-1800 | Tatiana L Hernandez Md Pa 3633 Little Rd Suite # 103 Trinity FL 34655-1815 Ph: (727) 853-1800 |
| NPI Number | 1164601191 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 01/27/2015 |
| Medicare PECOS PAC ID | 7113007626 |
|---|---|
| Medicare Enrollment ID | O20080109000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164601191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME90671 (Florida) | Primary |
| Provider Name | Tatiana L Hernandez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366535320 PECOS PAC ID: 9335164680 Enrollment ID: I20051006000277 |
| Provider Name | Evelyn E Castillo Delgado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144207606 PECOS PAC ID: 1658535737 Enrollment ID: I20181203001882 |
| Provider Name | Cynthia Echevarria Roman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1639382989 PECOS PAC ID: 5597082339 Enrollment ID: I20200130000631 |
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