MEDICARE: MRS. MARIA HERNANDEZ

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
1	372600000X	Adult Companion

General Provider Information

NPI Number	:	1083297709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA HERNANDEZ

Provider Business Mailing Address
First Line	:	1428 EUCLID ST NW APT 301
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-4593
Country	:	US
Telephone Number	:	202-640-8235
Fax Number	:

Provider Business Practice Location Address
First Line	:	5728 OREGON AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20015-1143
Country	:	US
Telephone Number	:	202-460-9836
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2021
Last Update Date	:	04/30/2021

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Directions to “ MRS. MARIA HERNANDEZ ” Practice Location

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