Active NPIIndividual providerSole proprietor

Kenneth X Roman Hernandez, MD

Student in an Organized Health Care Education/Training Program in Detroit, Michigan

NPI Number1366298721
Practice location
3990 John R St, Detroit, MI 48201-2018
Fax
—
Last updated
April 26, 2024

Kenneth Xavier Roman Hernandez is a Student in an Organized Health Care Education/Training Program based in Detroit, MI. Kenneth Xavier Roman Hernandez practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Kenneth Xavier Roman Hernandez is 1366298721. The current practice location address for Kenneth Xavier Roman Hernandez is 3990 John R St, Detroit, MI 48201-2018 and can be reached out via phone at 313-745-7233.

Provider Profile Details

NPI Number
1366298721
Provider Name
Kenneth Xavier Roman Hernandez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3990 John R St, Detroit, MI 48201-2018
Phone Number
313-745-7233
Sole Proprietor
Yes
Provider Enumeration Date
April 26, 2024
Last Update Date
April 26, 2024
Certification Date
April 18, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
3990 John R St
Detroit, MI 48201-2018
Zip
48201-2018
Phone Number
313-745-7233
Detroit, MI 48201Get directions →

Provider Business Mailing Address Details

Address
Urb Regional B9 Calle 1
Arecibo, PR 00612-3429
City
Arecibo
State
PR
Zip
00612-3429
Phone Number
787-362-0521

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kenneth X Roman Hernandez, MD?

The NPI number of Kenneth X Roman Hernandez, MD is 1366298721. It was assigned on April 26, 2024 and is currently active in the NPPES registry.

What is the specialty of Kenneth X Roman Hernandez, MD?

Kenneth X Roman Hernandez, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Kenneth X Roman Hernandez, MD practice?

The practice location is 3990 John R St, Detroit, MI 48201-2018. The office can be reached at 313-745-7233 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366298721 directly on the NPPES registry website.

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