Roberto Isidro Hernandez Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1072999 Issued in TX

Practice address

1000 Crowns Ridge Blvd
Suite C
Eagle Pass, TX 78852

Phone

(830) 757-2497

Fax

(830) 757-0489

NPI assigned

Aug 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eagle Pass Therapy Clinic PC

  dba Back to Action

  • Physical Therapist
  • Eagle Pass, TX
  • NPI 1578579827
  NPD (past)
• Physical Therapy Systems, Inc.

  • Physical Therapy Clinic/Center
  • Uvalde, TX
  • NPI 1679600415

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487660189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532127",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785532127",
            "telephone_number": "956-428-8951",
            "fax_number": "956-428-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CROWNS RIDGE BLVD",
            "address_2": "SUITE C",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "78852",
            "telephone_number": "830-757-2497",
            "fax_number": "830-757-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ROBERTO",
        "middle_name": "ISIDRO",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1072999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Hernandez, LVN
• Eliezer Hernandez, M.D.
• Emma Ramirez Hernandez, LVN
• Manuel Hernandez, P.A
• Norma Hilda Hernandez
• Talhia Hernandez, PT
• Rosa Isela Herrera, APRN
• Hesles Provider Agency LLC
• Kristi Joy Hinton, P.T.
• Brenda Guadalupe Hoffman, LPC

• Physical Therapist in Eagle Pass, TX
• Providers in Eagle Pass, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.