Federico R Hernandez DPM a Professional Corp

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E1187 Issued in CA

Legal business name

FEDERICO R HERNANDEZ DPM A PROFESSIONAL CORP

Practice address

1665 S Imperial Ave
Suite a
El Centro, CA 92243-4253

Phone

(760) 352-6062

Fax

(760) 332-0400

NPI assigned

Jan 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Federico Rene Hernandez, DPM

Title

President

Phone

(760) 352-6062

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1427233345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 318",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922440318",
            "telephone_number": "760-352-6062",
            "fax_number": "760-332-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 S IMPERIAL AVE",
            "address_2": "SUITE A",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434253",
            "telephone_number": "760-352-6062",
            "fax_number": "760-332-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERICO R HERNANDEZ DPM A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-352-6062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E1187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1801930318",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E11871",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariah Estrada
• Susana Evers
• Mahshid Fahandeza, DMD
• Farid Zia Physical Therapist a Professional Corp
• Susana Favila, FNP
• Erika R Felix, BEHAVIOR TECHNICIAN
• Elizabeth Anne Ferguson, M.A.
• Shonda S Ferguson
• Ida C Fernandez
• Leslie Marie Fernandez, FNP

• Foot & Ankle Surgery Podiatrist in El Centro, CA
• Providers in El Centro, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.