Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRIAM N HERNANDEZ
Active Sole ProprietorMethadone Clinic · BOSTON, MA
Registration Details
- NPI Number
- 1700464849
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2021 (5.0606011447573 yrs)
- Last Updated
- Mar 30, 2021
- License
-
LN64374 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23 BRADSTON STBOSTON, MA, 021182703Browse MA providers · Browse ZIP 02118
- Phone
- 6173186480
- Fax
- 6174271263
- Primary Specialty
-
Methadone Clinic
261QM2800X
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.