| Judith F Hernaez Md Llc | |
|
94-873 Farrington Hwy Ste 103 Waipahu HI 96797-3150 | |
| (808) 677-0774 | |
| Not Available |
| Full Name | Judith F Hernaez Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 94-873 Farrington Hwy Ste 103, Waipahu, Hawaii |
| Authorized Official Name and Position | Judith F. Hernaez (MD) |
| Authorized Official Contact | 8086770774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith F Hernaez Md Llc 94-873 Farrington Hwy Ste 103 Waipahu HI 96797-3150 Ph: () - | Judith F Hernaez Md Llc 94-873 Farrington Hwy Ste 103 Waipahu HI 96797-3150 Ph: (808) 677-0774 |
| NPI Number | 1902576366 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 11/30/2021 |
| Medicare PECOS PAC ID | 1052702156 |
|---|---|
| Medicare Enrollment ID | O20211228002046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902576366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Judith F Hernaez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124289566 PECOS PAC ID: 3072813427 Enrollment ID: I20151208000704 |
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