Provider Demographics
NPI:1861019630
Name:HERNANDEZ, CECILIA ALLAIN (MD)
Entity Type:Individual
Prefix:
First Name:CECILIA
Middle Name:ALLAIN
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1675 AURORA CT STE F731
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2592
Mailing Address - Country:US
Mailing Address - Phone:720-848-2500
Mailing Address - Fax:720-848-5014
Practice Address - Street 1:1675 AURORA CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2517
Practice Address - Country:US
Practice Address - Phone:720-848-2500
Practice Address - Fax:720-848-5014
Is Sole Proprietor?:No
Enumeration Date:2020-06-28
Last Update Date:2024-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0072621207W00000X
SCLL84189208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No208600000XAllopathic & Osteopathic PhysiciansSurgery