Provider Demographics
NPI:1427173020
Name:JANAIRO F. HERNANDEZ,MD,PC
Entity type:Organization
Organization Name:JANAIRO F. HERNANDEZ,MD,PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANAIRO
Authorized Official - Middle Name:FLORES
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-684-3710
Mailing Address - Street 1:237 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:PA
Mailing Address - Zip Code:17512-2113
Mailing Address - Country:US
Mailing Address - Phone:717-684-3710
Mailing Address - Fax:717-684-9660
Practice Address - Street 1:237 N 7TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:PA
Practice Address - Zip Code:17512-2113
Practice Address - Country:US
Practice Address - Phone:717-684-3710
Practice Address - Fax:717-684-9660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-033973-L261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
D71181Medicare UPIN