Provider Demographics
NPI:1548225915
Name:HERNANDEZ-ING, JANE BELINDA (MD)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:BELINDA
Last Name:HERNANDEZ-ING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46-001 KAMEHAMEHA HWY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3724
Mailing Address - Country:US
Mailing Address - Phone:808-200-7044
Mailing Address - Fax:808-784-0763
Practice Address - Street 1:46-001 KAMEHAMEHA HWY
Practice Address - Street 2:SUITE 202
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3724
Practice Address - Country:US
Practice Address - Phone:808-200-7044
Practice Address - Fax:808-784-0763
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0056724207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL371439000Medicaid
FL18254Medicare ID - Type Unspecified
HIHGM907ZMedicare PIN
FL371439000Medicaid