MEDICARE: MARIBEL AMERICA HERNANDEZ

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	374J00000X	Doula	CA
3	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1720742638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIBEL AMERICA HERNANDEZ

Provider Business Mailing Address
First Line	:	2534 N DEARING AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93703-1645
Country	:	US
Telephone Number	:	559-558-4051
Fax Number	:

Provider Business Practice Location Address
First Line	:	1803 VAN NESS AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93721-1132
Country	:	US
Telephone Number	:	559-400-5355
Fax Number	:

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

Provider Enumeration Date	:	10/26/2021
Last Update Date	:	01/27/2026

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Directions to “ MARIBEL AMERICA HERNANDEZ ” Practice Location

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