Gabriel a Hernandez

Primary specialty

SpecialistTaxonomy code 174400000X

License

2003-0024 Issued in NM

Legal business name

GABRIEL A HERNANDEZ

Practice address

3885 Foothills Rd Ste B
Las Cruces, NM 88011-4672

Phone

(505) 521-3388

Fax

(505) 521-4023

NPI assigned

Nov 5, 2007

Organization subpart

No

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

Authorized official

Name

Cynthia Lopez

Title

Office Manager

Phone

(505) 521-3388

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1841470135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 FOOTHILLS RD STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114672",
            "telephone_number": "505-521-3388",
            "fax_number": "505-521-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 FOOTHILLS RD STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114672",
            "telephone_number": "505-521-3388",
            "fax_number": "505-521-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL A HERNANDEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-521-3388"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "2003-0024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.