Provider Demographics
NPI:1659250512
Name:HERNANDEZ, ABRAM (CNA)
Entity type:Individual
Prefix:
First Name:ABRAM
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8208 S CORAL CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-4144
Mailing Address - Country:US
Mailing Address - Phone:561-888-9328
Mailing Address - Fax:
Practice Address - Street 1:8208 S CORAL CIR
Practice Address - Street 2:
Practice Address - City:NORTH LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33068-4144
Practice Address - Country:US
Practice Address - Phone:561-888-9328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA4763353747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider