Provider Demographics
NPI:1336012129
Name:HERNANDEZ, ABEL ISSAC
Entity type:Individual
Prefix:
First Name:ABEL
Middle Name:ISSAC
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2213 DECAMP POINT PL
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-5222
Mailing Address - Country:US
Mailing Address - Phone:915-259-2220
Mailing Address - Fax:
Practice Address - Street 1:12413 WINNERS CIR
Practice Address - Street 2:
Practice Address - City:HORIZON CITY
Practice Address - State:TX
Practice Address - Zip Code:79928-2267
Practice Address - Country:US
Practice Address - Phone:915-694-5580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider