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NPI Code Detail

MEDICARE: ADAN HERNANDEZ PT

MEDICARE:   ADAN  HERNANDEZ  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical Therapist6749NV

General Provider Information

NPI Number : 1023977071
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAN HERNANDEZ PT
Provider Business Mailing Address
First Line : 2275 N GATEWAY RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-5327
Country : US
Telephone Number : 702-502-7159
Fax Number :
Provider Business Practice Location Address
First Line : 3870 W ANN RD STE 110
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-4412
Country : US
Telephone Number : 702-396-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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Directions to “ ADAN HERNANDEZ PT” Practice Location

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