Luis Raul Hernandez III

Athletic Trainer · Ithaca, NY

Individual Active NPI

NPI number 1467121491

Practice location

953 Danby Rd
Ithaca, NY 14850-7002
Phone
(786) 266-1010

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NPI record

NPI
1467121491
Entity type
Individual (Type 1)
Enumeration date
September 13, 2021
Last updated
September 13, 2021
Certified
September 13, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

15100 SW 128TH Ave
Miami, FL 33186-6391
Phone
(786) 266-1010

About Luis Hernandez

Luis Raul Hernandez III is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 953 Danby Rd, Ithaca, NY 14850-7002. The NPI number 1467121491 was assigned on September 13, 2021 and the record was last updated on September 13, 2021.

Frequently asked questions

What is the NPI number of Luis Raul Hernandez III?

The NPI number is 1467121491.

What is the phone number of Luis Hernandez?

The phone number listed for the practice location is (786) 266-1010.

Where is Luis Hernandez located?

953 Danby Rd, Ithaca, NY 14850-7002.

What is the taxonomy code for Luis Hernandez?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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