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NPI Code Detail

MEDICARE: DR. CELSO A HERNANDEZ M.D.

MEDICARE: DR. CELSO A HERNANDEZ M.D.
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
1207VM0101XMaternal & Fetal Medicine PhysicianL5365TX
2207V00000XObstetrics & Gynecology PhysicianL5365TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932100559
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CELSO A HERNANDEZ M.D.
Provider Business Mailing Address
First Line : 5130 GATEWAY BLVD E
Second Line :
City : EL PASO
State : TX
Zip : 79905-1608
Country : US
Telephone Number : 915-215-4480
Fax Number : 915-215-5386
Provider Business Practice Location Address
First Line : 4801 ALBERTA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79905-2707
Country : US
Telephone Number : 915-215-5000
Fax Number : 915-215-8662
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2005
Last Update Date : 10/12/2023

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