Individual
JOAQUIN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1955 U,S,1, SAINT AUGUSTINE, FL 32086
(904) 494-2841
(904) 829-6174
Mailing address
601 SAPORA CIR, SAINT AUGUSTINE, FL 32092-4518
(904) 476-1241
(904) 476-1241
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
12851
PR
261QV0200X
VA Clinic/Center
Primary
12851
PR
Other
Enumeration date
12/15/2006
Last updated
05/12/2015
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