Guillermo Hernandez, Jr. DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A-701-79 Issued in NM

Legal business name

GUILLERMO HERNANDEZ, JR. DO

Practice address

4351 E. Lohman Ave.
Ste 202
Las Cruces, NM 88011-8260

Phone

(505) 522-8193

Fax

(505) 522-8323

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Guillermo Hernandez Jr., DINPI 1861487720

Title

Doctor

Phone

(505) 522-8193

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Guillermo Hernandez Jr., D.O.

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1861487720
  Authorized official Same address or phone

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619179835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 E. LOHMAN AVE.",
            "address_2": "STE 202",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118260",
            "telephone_number": "505-522-8193",
            "fax_number": "505-522-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 E. LOHMAN AVE.",
            "address_2": "STE 202",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118260",
            "telephone_number": "505-522-8193",
            "fax_number": "505-522-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO HERNANDEZ, JR. DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "505-522-8193",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DI"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-701-79",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guiding Star Southwest LLC
• Guido a Leon MD PA (Southwest Cardiovascular Center Inc)
• Lorraine Guillen
• Maria D Guillen
• Michelle Guillen, CF-SLP
• Aaron Allen Gump
• Jeshenique Gunn
• Amit Ajay Gupta, M.D.
• Angel Gurrola
• Michael Gurule, PTA

• Family Medicine Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.