# FEDERICO R HERNANDEZ DPM A PROFESSIONAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427233345
- **Authorized official:** DR. FEDERICO RENE HERNANDEZ DPM (PRESIDENT)
- **Authorized official phone:** (760) 352-6062

## Contact information

- **Practice address:** 1665 S IMPERIAL AVE, SUITE A, EL CENTRO, CA 92243-4253
- **Practice address phone:** (760) 352-6062
- **Practice address fax:** (760) 332-0400
- **Mailing address:** PO BOX 318, EL CENTRO, CA 92244-0318
- **Mailing address phone:** (760) 352-6062
- **Mailing address fax:** (760) 332-0400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E1187 | CA | Yes |

## Other

- **Enumeration date:** 01/09/2008
- **Last updated:** 02/14/2012