MIRIAM N. HERNANDEZ – NPI #1700464849
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

MIRIAM HERNANDEZ is an AHC clinic located in BOSTON, MA. NPPES has assigned the NPI number 1700464849 to MIRIAM HERNANDEZ on March 30, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 261QM2800X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Methadone

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIRIAM HERNANDEZ below.

NPI Profile for
MIRIAM N. HERNANDEZ

NPI Number
1700464849
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MIRIAM N. HERNANDEZ
Primary location
23 BRADSTON ST
BOSTON, MA 02118-2703
Phone: (617) 318-6480 Fax: (617) 427-1263
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Mar 30, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2800X
- Clinic/Center / Methadone (Primary)
MA LN64374

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.