Individual
JORGE ENRIQUE HERNANDEZ
Active
Individual
JORGE ENRIQUE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1384Y
BCBS OF NC
NC
01
—
194008
MEDCOST
NC
05
—
5900468
—
NC
Enumeration date
06/02/2006
Last updated
10/01/2007
Update your record
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