Organization
LOIDA M HERNANDEZ MD PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIDA M HERNANDEZ MD (PRESIDENT)
(702) 876-1000
Entity
Organization
Contact information
Practice address
4441 S EASTERN AVE, LAS VEGAS, NV 89119-7826
(702) 876-1000
(702) 876-0061
Mailing address
PO BOX 50067, HENDERSON, NV 89016-0067
(702) 876-1000
(702) 876-0061
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9649
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503316
—
NV
Enumeration date
08/06/2007
Last updated
01/31/2013
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