Provider Demographics
NPI:1912731696
Name:HERNANDEZ, BRIDGETT (CD/PCD)
Entity type:Individual
Prefix:
First Name:BRIDGETT
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:CD/PCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11219 SW 167TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-2733
Mailing Address - Country:US
Mailing Address - Phone:786-942-7829
Mailing Address - Fax:
Practice Address - Street 1:11219 SW 167TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-2733
Practice Address - Country:US
Practice Address - Phone:786-942-7829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula