Healthcare Provider Details

I. General information

NPI: 1629711148
Provider Name (Legal Business Name): JULIA HERNANDEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2022
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 MAIDEN LN RM 300
NEW YORK NY
10038-4725
US

IV. Provider business mailing address

10 RUTGERS ST APT 7A
NEW YORK NY
10002-7169
US

V. Phone/Fax

Practice location:
  • Phone: 646-290-9560
  • Fax:
Mailing address:
  • Phone: 253-278-1867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number346305
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: