Provider Demographics
NPI:1124799127
Name:HERNANDEZ GLOVES CORP
Entity type:Organization
Organization Name:HERNANDEZ GLOVES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GLEIDYS
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-598-1235
Mailing Address - Street 1:6484 INDIAN CREEK DR APT 220
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-5813
Mailing Address - Country:US
Mailing Address - Phone:954-598-1235
Mailing Address - Fax:
Practice Address - Street 1:6484 INDIAN CREEK DR APT 220
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-5813
Practice Address - Country:US
Practice Address - Phone:954-598-1235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty