| Anthony C Hernandez M D Inc | |
|
1824 Dillingham Blvd Honolulu HI 96819-4019 | |
| (808) 848-1515 | |
| (808) 848-1515 |
| Full Name | Anthony C Hernandez M D Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1824 Dillingham Blvd, Honolulu, Hawaii |
| Authorized Official Name and Position | Anthony Cadiente Hernandez (PRESIDENT) |
| Authorized Official Contact | 8088481515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony C Hernandez M D Inc 1824 Dillingham Blvd Honolulu HI 96819-4019 Ph: (808) 848-1515 | Anthony C Hernandez M D Inc 1824 Dillingham Blvd Honolulu HI 96819-4019 Ph: (808) 848-1515 |
| NPI Number | 1477682227 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 10/17/2008 |
| Medicare PECOS PAC ID | 4082717590 |
|---|---|
| Medicare Enrollment ID | O20070321000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477682227 | NPI | - | NPPES |
| B3303-1 | Other | HI | HMSA PROVIDER NUMBER |
| 029644-01 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5996 (Hawaii) | Primary |
| Provider Name | Anthony C Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962578476 PECOS PAC ID: 7113952276 Enrollment ID: I20050928000545 |
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