Provider Demographics
NPI:1386431450
Name:HERNANDEZ, JUAN (TCI)
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:TCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1551 WOLFF ST APT 101
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-1356
Mailing Address - Country:US
Mailing Address - Phone:720-353-0874
Mailing Address - Fax:
Practice Address - Street 1:1551 WOLFF ST APT 101
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-1356
Practice Address - Country:US
Practice Address - Phone:720-353-0874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter