Healthcare Provider Details

I. General information

NPI: 1730710302
Provider Name (Legal Business Name): ALVARO MAX HERNANDEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2020
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

957 BLANCO CIR
SALINAS CA
93901-4447
US

IV. Provider business mailing address

957 BLANCO CIR
SALINAS CA
93901-4447
US

V. Phone/Fax

Practice location:
  • Phone: 831-784-2198
  • Fax:
Mailing address:
  • Phone: 831-784-2198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number172V00000X
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: