Adrian Cruz Hernandez, LTC, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000010778 Issued in TX

Practice address

17327 E Adriatic PL Apt W208
Aurora, CO 80013-4889

Phone

(775) 217-0405

NPI assigned

Jun 16, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560643200000",
    "number": "1801456595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17327 E ADRIATIC PL APT W208",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800134889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17327 E ADRIATIC PL APT W208",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800134889",
            "telephone_number": "775-217-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ADRIAN",
        "middle_name": "CRUZ",
        "credential": "LTC, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-16",
        "last_updated": "2019-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "2000010778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hernanad@nsa.mil",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17327 E Adriatic Pl Apt W208",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800134889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diana Hernandez Correa
• Leonardo Hernandez Flores
• Joanna Hernandez-Caudron, LCSW
• Laura Marielis Hernandez-Diaz, MD
• Lilia Judith Hernandez-Ochoa
• Amy Hernandez, DDS
• Bethanie Victoria Hernandez, OTR/L, OTD
• Blanca Hizela Hernandez
• Chris Hernandez
• Christopher George Hernandez

• Athletic Trainer in Aurora, CO
• Providers in Aurora, CO by specialty
• Athletic Trainer in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2019; 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.