Milagros Socooro Hernandez

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

414 Nichele Blvd
Lake Placid, FL 33852-8995

Phone

(863) 243-2728

NPI assigned

Feb 21, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1508106907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 NICHELE BLVD",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338528995",
            "telephone_number": "863-243-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 NICHELE BLVD",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338528995",
            "telephone_number": "863-243-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MILAGROS",
        "middle_name": "SOCOORO",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heartland Pharmacy Lake Placid Inc
• Heartland Pharmacy Lake Placid Inc
• Michael James Henry, DO
• Gallardo De Grano Hermoso, PT
• Lydeliz Hernandez Perez
• Nancy High, MD
• Highlands Elder Care, Inc.
• Highlands Sunshine Services
• Holiday CVS LLC
• Patrice Holman, MD

• Developmental Therapist in Lake Placid, FL
• Providers in Lake Placid, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.