| Jorge L Hernandez Md Pa | |
|
250 2nd St E Suite 3b Bradenton FL 34208-1029 | |
| (941) 746-4151 | |
| (941) 746-4345 |
| Full Name | Jorge L Hernandez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 250 2nd St E, Bradenton, Florida |
| Authorized Official Name and Position | Jorge L. Hernandez (OWNER) |
| Authorized Official Contact | 9417464151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge L Hernandez Md Pa 250 2nd St E Suite 3b Bradenton FL 34208-1029 Ph: (941) 746-4151 | Jorge L Hernandez Md Pa 250 2nd St E Suite 3b Bradenton FL 34208-1029 Ph: (941) 746-4151 |
| NPI Number | 1063477420 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 05/24/2010 |
| Medicare PECOS PAC ID | 9335122423 |
|---|---|
| Medicare Enrollment ID | O20040610000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063477420 | NPI | - | NPPES |
| DB6894 | Other | FL | MCR RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jorge L Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932192325 PECOS PAC ID: 4688657778 Enrollment ID: I20040611001130 |
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