Individual
MR. VICTOR ORLANDO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
125 POTOMAC PSGE UNIT 200, OXON HILL, MD 20745-1580
(305) 206-8331
Mailing address
1801 BELLE VIEW BLVD APT C2, ALEXANDRIA, VA 22307-6728
(305) 206-8331
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
185997
—
246ZS0410X
Surgical Technologist
111590
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185997
NATIONAL BOARD OF SURIGCAL TECHNOLOGIST AND SURGICAL ASSISTING (NBSTSA)
—
Enumeration date
12/02/2018
Last updated
02/11/2019
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