Provider Demographics
NPI:1104196195
Name:HERNANDEZ, CHRISTIAN AQUINO (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:AQUINO
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 N KENTUCKY AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4741
Mailing Address - Country:US
Mailing Address - Phone:407-539-2766
Mailing Address - Fax:407-539-2786
Practice Address - Street 1:1110 N KENTUCKY AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4741
Practice Address - Country:US
Practice Address - Phone:407-539-2766
Practice Address - Fax:407-539-2786
Is Sole Proprietor?:No
Enumeration Date:2012-01-06
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME123680207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine