Provider Demographics
NPI:1659065696
Name:HERNANDEZ SANCHEZ, AGUSTIN (MD)
Entity Type:Individual
Prefix:
First Name:AGUSTIN
Middle Name:
Last Name:HERNANDEZ SANCHEZ
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 1:567 ESPANA
Mailing Address - Street 2:
Mailing Address - City:BUENOS AIRES
Mailing Address - State:BUENOS AIRES
Mailing Address - Zip Code:B1643
Mailing Address - Country:AR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:567 ESPANA
Practice Address - Street 2:
Practice Address - City:BUENOS AIRES
Practice Address - State:BUENOS AIRES
Practice Address - Zip Code:B1643
Practice Address - Country:AR
Practice Address - Phone:011-581-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ169706208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology