Provider Demographics
NPI:1538929815
Name:HERNANDEZ FIGUEROA, GABRIEL JOSE
Entity type:Individual
Prefix:
First Name:GABRIEL
Middle Name:JOSE
Last Name:HERNANDEZ FIGUEROA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38969 HARLOW ROSE DR
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33540-3349
Mailing Address - Country:US
Mailing Address - Phone:787-501-2916
Mailing Address - Fax:
Practice Address - Street 1:3155 AERIAL WAY
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34604-0629
Practice Address - Country:US
Practice Address - Phone:352-283-8388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14579111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor