Luisa F Hernandez Medellin, PSYD is a
Clinical Neuropsychologist based in Coral Gables, Florida. Luisa F Hernandez Medellin is licensed to practice in Florida (license number PY9967) and her current practice location is
2020 Ponce De Leon Blvd Ste 1201, Coral Gables, Florida. She can be reached at her office (for appointments etc.) via phone at
(305) 917-5414.
NPI number for Luisa F Hernandez Medellin is 1770094039 and her current mailing address is 2605 Sw 133rd Ave, Miami, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770094039.
Healthcare Provider's Profile
| Full Name | Luisa F Hernandez Medellin |
|---|
| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 2020 Ponce De Leon Blvd Ste 1201, Coral Gables, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770094039
- Provider Enumeration Date: 10/13/2017
- Last Update Date: 11/15/2023
Medical Identifiers
Medical identifiers for Luisa F Hernandez Medellin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770094039 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PY9967 (Florida) | Secondary |
| 103T00000X | Psychologist | PY9967 (Florida) | Secondary |
| 103TH0004X | Psychologist - Health | PY9967 (Florida) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | PY9967 (Florida) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY9967 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Luisa F Hernandez Medellin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Luisa F Hernandez Medellin, PSYD
2605 Sw 133rd Ave,
Miami, FL 33175-7108
Ph: (786) 488-9343 | Luisa F Hernandez Medellin, PSYD
2020 Ponce De Leon Blvd Ste 1201,
Coral Gables, FL 33134-4476
Ph: (305) 917-5414 |
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