Healthcare Provider Details

I. General information

NPI: 1013943208
Provider Name (Legal Business Name): ORLANDO HERNANDEZ MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 05/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2827 ORCHARDPARK DR
CINCINNATI OH
45239-7786
US

IV. Provider business mailing address

PO BOX 633724
CINCINNATI OH
45263-3724
US

V. Phone/Fax

Practice location:
  • Phone: 513-343-0429
  • Fax:
Mailing address:
  • Phone: 513-343-0429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ORLANDO HERNANDEZ
Title or Position: OWNER
Credential: MD
Phone: 513-343-0429