Individual
DR. GABRIEL A. HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 S. DON ROSER DR., SUITE A, LAS CRUCES, NM 88011
(575) 521-3388
(575) 521-4023
Mailing address
1505 S. DON ROSER DR., SUITE A, LAS CRUCES, NM 88011
(575) 521-3388
(575) 521-4023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2003-0024
NM
2084P0800X
Psychiatry Physician
Primary
NM2003-0024
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99930722
—
NM
Enumeration date
10/26/2005
Last updated
09/16/2014
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