MEDICARE: MR. JORGE A HERNANDEZ MD

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	208000000X	Pediatrics Physician	H6846	TX

General Provider Information

NPI Number	:	1891757415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JORGE A HERNANDEZ MD

Provider Business Mailing Address
First Line	:	3750 COMMERCIAL AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78221-3117
Country	:	US
Telephone Number	:	210-922-7000
Fax Number	:	210-924-1374

Provider Business Practice Location Address
First Line	:	9793 CULEBRA RD STE 105
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-3750
Country	:	US
Telephone Number	:	210-223-3543
Fax Number	:	210-924-1374

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

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	01/12/2026

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