Individual
MAGDIEL TRINIDAD HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E BOULDER ST STE 600, COLORADO SPRINGS, CO 80909-5533
(719) 364-6487
Mailing address
2222 N NEVADA AVE, SUITE 5011, COLORADO SPRINGS, CO 80907-6819
(719) 776-6700
(719) 776-6780
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036114906
IL
2086S0129X
Vascular Surgery Physician
104331
MN
2086S0129X
Vascular Surgery Physician
45194
AZ
2086S0129X
Vascular Surgery Physician
Primary
DR.0054839
CO
Other
Enumeration date
09/18/2008
Last updated
06/03/2020
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