Provider Demographics
NPI:1487457776
Name:OCHOA HERNANDEZ, MERCEDES TAMARA (MS, JD, CBHCM, NP)
Entity type:Individual
Prefix:
First Name:MERCEDES
Middle Name:TAMARA
Last Name:OCHOA HERNANDEZ
Suffix:
Gender:
Credentials:MS, JD, CBHCM, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1655 W 44TH PL APT 317
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7425
Mailing Address - Country:US
Mailing Address - Phone:786-539-9356
Mailing Address - Fax:
Practice Address - Street 1:1655 W 44TH PL APT 317
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7425
Practice Address - Country:US
Practice Address - Phone:786-539-9356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCBHCM0104825171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator