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RAFAELA G HERNANDEZ MD CHTD NPI 1598934325


NPI Information

NPI: 1598934325
Provider Name: RAFAELA G HERNANDEZ MD CHTD
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 29D2069857

Address:
236 W 6TH ST
#303
RENO, NV
ZIP 89503
Phone: (775) 337-8400
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RAFAELA G HERNANDEZ MD CHTD is a specialist in Reno, NV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RAFAELA G HERNANDEZ MD CHTD NPI is 1598934325. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

236 W 6TH ST
#303
RENO, NV
ZIP 89503-517
Phone: (775) 337-8400
Fax: (775) 337-8407

The provider's authorized official is Rafaela Gutierrez Hernandez .
The authorized official title is President and has the following contact phone number (775) 337-8400.

The CLIA number assigned to this NPI record is 29D2069857 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2008 and was last updated on 5/6/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist10759NEVADAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
139178MEDICARE PIN
2I05147MEDICARE UPIN
3100504022MEDICAIDNEVADA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.