Male or Other

Mr. Luis M. Gomez Hernandez APRN

Psychiatric/Mental Health Nurse Practitioner in Miami Lakes, FL(View on Map)

Full Name

Mr. Luis Manuel Gomez Hernandez APRN

NPI Number

1063043164

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/28/2020

Specialties

(Taxonomies)

Code

363LP0808X
363LF0000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Florida

License Number

APRN11005915
11005915

Contact
Information

Purpose

Mailing
Location

Address

14415 SW 15TH ST
14400 NW 77TH CT STE 100

City

Miami
Miami Lakes

State

FL
FL

Postal Code

33184-3269
33016-1590

Country

US
US

Telephone Number

(786) 578-3797
(786) 916-6073

Identifiers

Identifier

107294700

Identifier State

FL

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

CONNECT

Endpoint

Miami

Endpoint Description

Office

Use

Direct

Content Type

Other

Other Description:
Miami

Affiliation

N

Endpoint Location

14415 SW 15th StMiami, FL331843269US

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

Data last updated by provider on 02/28/2022

Provider Address

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Female

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Specialty: Psychiatric/Mental Health Nurse Practitioner (Primary)