Thomas R. Hernandez, MD

Pediatrics Physician · Santa Fe, NM

Individual Active NPI

NPI number 1568440428

Practice location

4801 Beckner Rd
Level 2 Pod 1 Ste 2600
Santa Fe, NM 87507-0000
Phone
(505) 772-2000

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NPI record

NPI
1568440428
Entity type
Individual (Type 1)
Enumeration date
January 2, 2006
Last updated
November 10, 2021
Certified
November 10, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X MD00033054 WA
Pediatrics Physician 208000000X MD2021-0914 NM

Mailing address

PO Box 26666
Provider Enrollment
Albuquerque, NM 87125-6666
Phone
(505) 923-6770
Fax
(505) 923-5354

About Dr. Hernandez

Thomas R. Hernandez, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 4801 Beckner Rd, Level 2 Pod 1 Ste 2600, Santa Fe, NM 87507-0000. The NPI number 1568440428 was assigned on January 2, 2006 and the record was last updated on November 10, 2021.

Dr. Hernandez lists 2 licenses in the registry: #MD00033054 (WA) for Pediatrics Physician; #MD2021-0914 (NM) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas R. Hernandez, MD?

The NPI number is 1568440428.

What is the phone number of Dr. Hernandez?

The phone number listed for the practice location is (505) 772-2000.

Where is Dr. Hernandez located?

4801 Beckner Rd, Level 2 Pod 1 Ste 2600, Santa Fe, NM 87507-0000.

What is the taxonomy code for Dr. Hernandez?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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