JOSE M HERNANDEZ PINEDO LAC
NPI 1225845316
Counselor - Professional in Nogales, AZ
Active since December 12, 2024
About Jose M Hernandez Pinedo Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSE M HERNANDEZ PINEDO LAC (NPI 1225845316) is an individual professional provider in Nogales, Arizona, licensed in Arizona (LAC-22921) and active in the NPI registry since December 2024.
NPPES Registry Identity
NPI1225845316
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOSE M HERNANDEZ PINEDOCredential: LAC
Location Address1852 N MASTICK WAYNogales, AZ 85621-1063
Mailing Address825 N Grand Ave Ste 100Nogales, AZ 85621-1061 · (520) 761-2128 · Fax (520) 281-1112
Phone(520) 281-1550
Fax(520) 281-4487
Sole ProprietorNo
Enumeration DateDecember 12, 2024
Last NPPES UpdateDecember 13, 2024
NPPES CertifiedDecember 13, 2024
✔ NPI 1225845316 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · LAC-22921
1852 N MASTICK WAY, Nogales, AZ 85621
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Registered Nurse (Obstetric, High-Risk)
1852 N MASTICK WAY, MARIPOSA COMMUNITY HEALTH CENTER
NOGALES, AZ 85621
NOGALES, AZ 85621
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225845316, enumerated as an "individual" on December 12, 2024.
The provider is located at 1852 N MASTICK WAY NOGALES, AZ 85621 and the phone number is (520) 281-1550.
Counselor with taxonomy code 101YP2500X and a focus in Professional.