Most Relevant Information
Provider Data
| NPI Number: | 1003806472 |
| Provider Name: | GABRIEL A. HERNANDEZ M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 2003-0024 |
Most Important Dates
| Enumeration Date: | 10/26/2005 |
| Last Updated: | 09/16/2014 |
Provider Practice Location
1505 S. DON ROSER DR.
SUITE A
LAS CRUCES
NM
88011
Practice Location Phone/Fax
| Phone: | 5755213388 |
| Fax: | 5755214023 |
Provider Mailing Location
1505 S. DON ROSER DR.
SUITE A
LAS CRUCES
NM
88011
Provider Mailing Phone/Fax
| Phone: | 5755213388 |
| Fax: | 5755214023 |