RICHARD A. HERNANDEZ

PROVIDENCE, RI
NPI1457328221
Former NameRICHARD HERNANDEZ
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: RI  PA00382)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: RI  PA00382)
Enumeration Date2006-03-01
Last Update Date2020-01-29
Business Address
RICHARD A. HERNANDEZ PA-C
164 SUMMIT AVE # C70
PROVIDENCE, RI 02906-2853
Phone number: 401-793-4545
Mailing Address
RICHARD A. HERNANDEZ PA-C
PO BOX 16149
RUMFORD, RI 02916-0697
Phone number: 401-453-9625