Healthcare Provider Details

I. General information

NPI: 1285548339
Provider Name (Legal Business Name): MRS. SORAYA D HERNANDEZ MARRERO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

842 FOXCROFT CT APT 147
LINCOLN NE
68510-4129
US

IV. Provider business mailing address

842 FOXCROFT CT APT 147
LINCOLN NE
68510-4129
US

V. Phone/Fax

Practice location:
  • Phone: 402-904-1110
  • Fax:
Mailing address:
  • Phone: 402-904-1110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: