Male or Other

Jorge Hernandez Medina MD

General Practice Physician in Miami, FL(View on Map)

Full Name

Jorge Hernandez Medina MD

NPI Number

1376026781

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/11/2018

Specialties

(Taxonomies)

Code

208D00000X

Primary Taxonomy

Yes

Licenses

State

Florida
Puerto Rico

License Number

ACN1109
21116

Contact
Information

Purpose

Mailing
Location

Address

6100 BLUE LAGOON DR STE 365
1621 SW 107TH AVE

City

Miami
Miami

State

FL
FL

Postal Code

33126-7010
33165-7344

Country

US
US

Telephone Number

(786) 322-7333
(786) 422-6525

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/11/2024

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