Provider Demographics
NPI:1023758612
Name:HERNANDEZ GONZALEZ, ARAIMY (LPN)
Entity type:Individual
Prefix:
First Name:ARAIMY
Middle Name:
Last Name:HERNANDEZ GONZALEZ
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2613 LAKE VIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33948-3725
Mailing Address - Country:US
Mailing Address - Phone:194-162-3553
Mailing Address - Fax:
Practice Address - Street 1:2613 LAKE VIEW BLVD
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33948-3725
Practice Address - Country:US
Practice Address - Phone:194-162-3553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health