Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ildefonso Hernandez, PTA

Individual provider Physical Therapy Assistant · NPI 1184136566

Ildefonso Hernandez, PTA is a Physical Therapy Assistant in Miami Lakes, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

14411 Commerce Way
Miami Lakes, FL 33016-1596
Phone: (305) 625-8844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 26504 (FL)

Record details

NPI number1184136566
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedOctober 25, 2017
Last updated in NPPESOctober 25, 2017
Mailing address640 Ne 1st Pl, Hialeah, FL 33010-5044

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