Healthcare Provider Details

I. General information

NPI: 1548225915
Provider Name (Legal Business Name): JANE BELINDA HERNANDEZ-ING M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 12/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46-001 KAMEHAMEHA HWY SUITE 202
KANEOHE HI
96744-3724
US

IV. Provider business mailing address

46-001 KAMEHAMEHA HWY SUITE 202
KANEOHE HI
96744-3724
US

V. Phone/Fax

Practice location:
  • Phone: 808-200-7044
  • Fax: 808-784-0763
Mailing address:
  • Phone: 808-200-7044
  • Fax: 808-784-0763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberME0056724
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: