person
Richard A. Hernandez, PA-C
Medical Physician Assistant in Providence, Rhode Island
NPI 1457328221

Richard A. Hernandez is a Medical Physician Assistant based in Rumford, RI and is specialized in Medical. Richard A. Hernandez practices in Providence, RI and has the professional credentials of PA-C. The NPI Number for Richard A. Hernandez is 1457328221 and holds a License No. PA00382 (Rhode Island).

The current practice location address for Richard A. Hernandez is 164 Summit Ave # C70, Providence, RI and can be reached out via phone at 401-793-4545 and via fax at 401-793-7866. You can also correspond with Richard A. Hernandez through the mailing address at PO BOX 16149, RUMFORD, RI - 02916-0697 (mailing address contact number: 401-453-9625).

Location: 164 Summit Ave # C70, Providence, RI, 02916-0697
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Provider Profile Details
NPI Number
1457328221
Provider Name
Richard A. Hernandez
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
164 Summit Ave # C70, Providence, RI, 02916-0697
Phone Number
401-793-4545
Fax Number
401-793-7866
Provider Enumeration Date
03/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA00382 01 RI PA LICENSE
institution
Provider Business Practice Location Address Details
Address
164 Summit Ave # C70
City
State
Zip
02906-2853
Phone Number
401-793-4545
Fax Number
401-793-7866
person
Provider Business Mailing Address Details
Address
Po Box 16149
City
State
Zip
02916-0697
Phone Number
401-453-9625
Fax Number
401-435-7069
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00382 (Rhode Island)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA00382 (Rhode Island)
Definition
Definition to come...
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