Ildefonso Hernandez, PTA
NPI #1184136566 in Miami Lakes, Florida
Provider Information
- NPI Number
- 1184136566
- Entity Type
- Individual
- Name
- Ildefonso Hernandez, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Oct 25, 2017
- Last Updated
- Oct 25, 2017
Practice Location
- Address
- 14411 COMMERCE WAY
- City
- Miami Lakes
- State
- Florida
- ZIP Code
- 33016-1596
- Phone
- (305) 625-8844
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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