Individual
CARLOS ROBERTO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
204 ANGELINA BLVD, CHAPARRAL, NM 88081-7558
(575) 824-8100
(505) 443-8330
Mailing address
204 ANGELINA BLVD, CHAPARRAL, NM 88081-7558
(575) 824-8100
(505) 443-8330
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NM
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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