JOAQUIN HERNANDEZ

SAINT AUGUSTINE, FL
NPI1144382110
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QV0200X Clinic/Center, VA
(Licence: PR  12851)
Additional Taxonomies171000000X Military Health Care Provider
(Licence: PR  12851)
Enumeration Date2006-12-15
Last Update Date2015-05-12
Business Address
-- JOAQUIN HERNANDEZ M.D.
1955 U,S,1
SAINT AUGUSTINE, FL 32086
Phone number: 904-494-2841
Mailing Address
-- JOAQUIN HERNANDEZ M.D.
601 SAPORA CIR
SAINT AUGUSTINE, FL 32092-4518
Phone number: 904-476-1241