| Doctor Name: | JOAQUIN HERNANDEZ |
| NPI Number: | 1144382110 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 12851 |
| Business Practice Address: | 1955 U,s,1 Saint Augustine, FL - 32086 |
| Business Phone Number: | 9044942841 |
| Business Fax Number: | 9048296174 |
| Mailing Address: | 601 Sapora Cir, SAINT AUGUSTINE |
| State: | FL |
| Postal Code: | 320924518 |
| Phone Number: | 9044761241 |
| Fax Number: | 9044761241 |
| NPI Enumeration Date: | 12/15/2006 |
| NPI Last Update Date: | 05/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 12851 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |