Individual
DR. CARMELO ABEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-8028
(719) 589-8086
Mailing address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 587-1417
(719) 587-6324
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200100889
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48586871
—
CO
05
—
89012PR
—
NC
Enumeration date
06/16/2005
Last updated
05/05/2021
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