Provider Demographics
NPI:1992969745
Name:MILANES, HERMES LINO (MD)
Entity type:Individual
Prefix:
First Name:HERMES
Middle Name:LINO
Last Name:MILANES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HERMES
Other - Middle Name:
Other - Last Name:MILANES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:167 W 23RD ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-2211
Mailing Address - Country:US
Mailing Address - Phone:305-823-3312
Mailing Address - Fax:305-884-3989
Practice Address - Street 1:711 NW 23RD AVE STE 301-303
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3298
Practice Address - Country:US
Practice Address - Phone:305-643-4797
Practice Address - Fax:305-643-4880
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17348 I207Q00000X
FLME108558207Q00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME108558OtherFL DEPT OF HEALTH