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NPI Code Detail

MEDICARE: RICARDO HERNANDEZ PT

MEDICARE:   RICARDO  HERNANDEZ  PT
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
1225100000XPhysical Therapist1307727TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11307727OTHERTXTEXAS PT LICENSE NUMBER

General Provider Information

NPI Number : 1982183240
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICARDO HERNANDEZ PT
Provider Business Mailing Address
First Line : 3307 GARZA ST
Second Line :
City : PENITAS
State : TX
Zip : 78576
Country : US
Telephone Number : 956-458-1010
Fax Number :
Provider Business Practice Location Address
First Line : 2530 CENTRAL PALM DR
Second Line :
City : RIO GRANDE CITY
State : TX
Zip : 78582-6648
Country : US
Telephone Number : 956-487-3996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2018
Last Update Date : 01/08/2026

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Directions to “ RICARDO HERNANDEZ PT” Practice Location

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