Provider Demographics
NPI:1447450937
Name:HERNANDEZ-GONZALEZ, ANDREA (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:
Last Name:HERNANDEZ-GONZALEZ
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 1:55 VILCOM CENTER DR
Mailing Address - Street 2:BOYD HALL, SUITE 135
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514
Mailing Address - Country:US
Mailing Address - Phone:919-590-9126
Mailing Address - Fax:833-457-2320
Practice Address - Street 1:55 VILCOM CENTER DR
Practice Address - Street 2:BOYD HALL, SUITE 135
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:919-590-9126
Practice Address - Fax:833-457-2320
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-007862084P0800X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5911875Medicaid
NC154K4OtherBCBS NC
NC5911875Medicaid