Loida M Hernandez MD Prof Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9649 Issued in NV

Legal business name

LOIDA M HERNANDEZ MD PROF CORP

Practice address

4441 S Eastern Ave
Las Vegas, NV 89119-7826

Phone

(702) 876-1000

Fax

(702) 876-0061

NPI assigned

Aug 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Loida M Hernandez, MD

Title

President

Phone

(702) 876-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1063603926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50067",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890160067",
            "telephone_number": "702-876-1000",
            "fax_number": "702-876-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197826",
            "telephone_number": "702-876-1000",
            "fax_number": "702-876-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOIDA M HERNANDEZ MD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LOIDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-876-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "9649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100503316",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.