Provider Demographics
NPI:1467328815
Name:HERNANDEZ, ERIC (DMD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1961 KASOY ST.
Mailing Address - Street 2:BARANGAY DASMARINAS
Mailing Address - City:MAKATI CITY
Mailing Address - State:METRO MANILA
Mailing Address - Zip Code:01222
Mailing Address - Country:PH
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:32ND ST., ST. LUKES MEDICAL CENTER GLOBAL CITY
Practice Address - Street 2:
Practice Address - City:TAGUIG CITY
Practice Address - State:METRO MANILA
Practice Address - Zip Code:01604
Practice Address - Country:PH
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS468231223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry