Individual
DR. JOEL D HERNANDEZ
Active
Individual
DR. JOEL D HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
MD00047205
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
807680300
IDAHO MEDICAID
WA
01
—
8480683
WA MEDICAID
WA
01
—
G8864785
MEDICARE PTAN
WA
01
—
GAB32999
MEDICARE GROUP
WA
Enumeration date
03/15/2007
Last updated
03/07/2023
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