MEDICARE: GEORGE R HERNANDEZ IDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1710I1002X	Independent Duty Corpsman

General Provider Information

NPI Number	:	1336366863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE R HERNANDEZ IDC

Provider Business Mailing Address
First Line	:	5733 LILAC LN APT 207
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-6872
Country	:	US
Telephone Number	:	760-855-6614
Fax Number	:

Provider Business Practice Location Address
First Line	:	5733 LILAC LN APT 207
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-6872
Country	:	US
Telephone Number	:	760-855-6614
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1487519914 — RESTORING WATERS COUNSELING LLC
Practice Location Address:

116 LANDMARK SQ STE 103
VIRGINIA BEACH, VA
23452-6872

Practice Phone: 757-414-7170
Practice Fax:

1215669478 — MRS. JILL LEANN THOMAS LPC
Practice Location Address:

116 LANDMARK SQ STE 103
VIRGINIA BEACH, VA
23452-6872

Practice Phone: 757-414-7170
Practice Fax:

1558072777 — JONESIN LLC
Practice Location Address:

116 LANDMARK SQ STE 103
VIRGINIA BEACH, VA
23452-6872

Practice Phone: 757-749-6006
Practice Fax:

1588436810 — TIMOTHY JOHNSON II
Practice Location Address:

116 LANDMARK SQ STE 104
VIRGINIA BEACH, VA
23452-6872

Practice Phone: 757-477-3165
Practice Fax:

1922875251 — THE GOOD NEIGHBORS LLC
Practice Location Address:

116 LANDMARK SQ STE 104
VIRGINIA BEACH, VA
23452-6872

Practice Phone: 757-477-3165
Practice Fax:

1366818601 — KIMBERLEIGH YATES PT, DPT
Practice Location Address:

6872 W VIRGINIA AVE
JACKSONVILLE, FL
32209-1420

Practice Phone: 904-304-9860
Practice Fax:

Directions to “ GEORGE R HERNANDEZ IDC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.