Provider Demographics
NPI:1649071838
Name:HERNANDEZ, RIGOBERTO (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:RIGOBERTO
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12076
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79913-0076
Mailing Address - Country:US
Mailing Address - Phone:915-841-8505
Mailing Address - Fax:
Practice Address - Street 1:10 MCGREGOR RANGE RD
Practice Address - Street 2:
Practice Address - City:CHAPARRAL
Practice Address - State:NM
Practice Address - Zip Code:88081-7753
Practice Address - Country:US
Practice Address - Phone:575-824-4884
Practice Address - Fax:575-824-5271
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1192511363LP0808X
NM83328363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health