| Loida M Hernandez Md Prof Corp | |
|
4441 S Eastern Ave Las Vegas NV 89119-7826 | |
| (702) 876-1000 | |
| (702) 876-0061 |
| Full Name | Loida M Hernandez Md Prof Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 4441 S Eastern Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Loida M Hernandez (PRESIDENT) |
| Authorized Official Contact | 7028761000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loida M Hernandez Md Prof Corp Po Box 50067 Henderson NV 89016-0067 Ph: (702) 876-1000 | Loida M Hernandez Md Prof Corp 4441 S Eastern Ave Las Vegas NV 89119-7826 Ph: (702) 876-1000 |
| NPI Number | 1063603926 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 01/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063603926 | NPI | - | NPPES |
| 100503316 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9649 (Nevada) | Primary |
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