Healthcare Provider Details

I. General information

NPI: 1811725989
Provider Name (Legal Business Name): NELDA ESTER MARTINEZ-HERNANDEZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 QUAIL AVE EDINBURG
TEXAS TX
78542
US

IV. Provider business mailing address

702 QUAIL AVE
EDINBURG TX
78542-5169
US

V. Phone/Fax

Practice location:
  • Phone: 956-291-9068
  • Fax:
Mailing address:
  • Phone: 956-291-9068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number530418
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: