Individual
CESAR J. HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 LEAD AVE SE STE 4, ALBUQUERQUE, NM 87106-5214
(505) 842-5902
(505) 242-6313
Mailing address
1010 LEAD AVE SE STE 4, ALBUQUERQUE, NM 87106-5214
(505) 842-5902
(505) 242-6313
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
20020272
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063439800
NPI GROUP
NM
05
—
12134805
—
NM
01
—
200521050
MEDICARE GROUP
NM
01
—
95822739
MEDICAID GROUP
NM
01
—
OONM001009
BCBS
NM
Enumeration date
10/04/2006
Last updated
12/15/2011
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