Individual
DR. CARLOS E HERNANDEZ MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 GREAT PLAINS ROAD, ARAPAHOE, WY 82510-0014
(307) 856-9281
(307) 463-4489
Mailing address
PO BOX 1310, PO BOX 1310, RIVERTON, WY 82501
(787) 895-0045
(787) 817-2571
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7536
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29594
T-SSS
PR
Enumeration date
08/10/2006
Last updated
08/10/2020
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