Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RAFAEL HERNANDEZ JR.
Active Sole ProprietorMR. RAFAEL HERNANDEZ JR. is a Addiction Medicine (Family Practice) healthcare provider located in PORT SAINT LUCIE, Florida. NPI 1417407958 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · PORT SAINT LUCIE, FL
Registration Details
- NPI Number
- 1417407958
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2016 (9.8853052200987 yrs)
- Last Updated
- Oct 7, 2016
- License
-
ME83014 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10570 S US HIGHWAY 1SUITE 102PORT SAINT LUCIE, FL, 349525606Browse FL providers · Browse ZIP 34952
- Phone
- 7728286992
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.