Hernandez, Gabriel A.

Hernandez, Gabriel A. is an individual health care provider with primary practice located at 1505 S. Don Roser Dr. Suite A, Las Cruces NM 88011. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Hernandez, Gabriel A. can be contacted via phone (575) 521-3388.

Contact Information

Primary practice address
1505 S. Don Roser Dr. Suite A Las Cruces NM 88011
Phone: (575) 521-3388
Fax: (575) 521-4023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2003-0024 New Mexico
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X NM2003-0024 New Mexico

Profile Details

NPI number 1003806472
LBN Legal business name Hernandez, Gabriel A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Sep 16th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003806472 NPPES
New Mexico MEDICAID 99930722

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