MEDICARE: DR. ORLANDO 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	207R00000X	Internal Medicine Physician	35-080634	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1962405308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ORLANDO HERNANDEZ MD

Provider Business Mailing Address
First Line	:	PO BOX 633724
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-3724
Country	:	US
Telephone Number	:	513-891-7574
Fax Number	:	513-793-1032

Provider Business Practice Location Address
First Line	:	2827 ORCHARDPARK DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45239-7786
Country	:	US
Telephone Number	:	513-343-0429
Fax Number	:	513-389-0764

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	11/30/2007

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