Individual
DR. HERNANDO ORJUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-5882
(718) 654-6264
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-5882
(718) 654-6264
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
039090
CT
207RC0000X
Cardiovascular Disease Physician
Primary
197279
NY
207UN0901X
Nuclear Cardiology Physician
039090
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400073276
MEDICARE ID
NY
Enumeration date
07/06/2005
Last updated
12/18/2013
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