JOSE MIRA HERNANDEZ M.D. NPI 1497739130

NPI Information

  • NPI: 1497739130
  • Provider Name: JOSE MIRA HERNANDEZ, M.D.
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • Address: 3011 HAMPTON AVE
    BRUNSWICK, GA
    ZIP 31520
  • Phone: (912) 261-2669

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NPI Details

Jose Mira Hernandez, M.D. is an anatomic pathology and clinical pathology pathology in Brunswick, GA. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Jose Mira Hernandez, M.D. NPI is 1497739130. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3011 HAMPTON AVE
BRUNSWICK, GA
ZIP 31520-264
Phone: (912) 261-2669
Fax: (912) 261-0561

The enumeration date for this NPI number is 12/6/2005 and was last updated on 4/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology052133GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E62620MEDICARE UPINGEORGIA
2000970263AMEDICAIDGEORGIA
322BDDJNMEDICARE PINGEORGIA
4220033320MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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