Healthcare Provider Details

I. General information

NPI: 1841949054
Provider Name (Legal Business Name): CAROL ANDREINA AVILA HERNANDEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 NILES ST
BAKERSFIELD CA
93306-4922
US

IV. Provider business mailing address

903 W MARTIN ST # 49-2903W
SAN ANTONIO TX
78207-0903
US

V. Phone/Fax

Practice location:
  • Phone: 661-328-4284
  • Fax: 661-616-9977
Mailing address:
  • Phone: 210-358-3650
  • Fax: 210-358-9955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberW0124
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: