ROGER G HERNANDEZ JR.


Address: 411 Prestwick Blvd, San Antonio, TX 78223-2437
Phone: 2103053673

ROGER G HERNANDEZ JR. (NPI# 1184114423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184114423
Entity Type Individual
Full Name ROGER G HERNANDEZ JR.
Practice Address 411 Prestwick Blvd
San Antonio
TX 78223-2437
Practice Telephone 2103053673
Enumeration Date 2018-05-11
Last Update Date 2018-05-18
NPI Deactivation Date 05/12/2018
NPI Reactivation Date 2018-05-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Other Providers ROGER HERNANDEZ

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1073850731 Roger Hernandez Specialist 1190 Kelly Ct, Valley Stream, NY 11580-1514 2013-01-14

Office Location

Street Address 411 PRESTWICK BLVD
City SAN ANTONIO
State TX
Zip Code 78223-2437

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Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

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Competitor

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City SAN ANTONIO
Zip Code 78223

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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