| NPI | 1619565363 |
|---|---|
| Professional Name | JOSE M HERNANDEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| 363AS0400X Physician Assistant Surgical | |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-01-07 |