Individual provider · Type 1 NPI
Cutberto A. Hernandez Sr.
Orthodontics and Dentofacial Orthopedics Dentistry · San Luis Rio Colorado, MX
Practice location
Avenida Libertad Y Calle 17 #1608
San Luis Rio Colorado, MX 83447
Mailing address
PO Box 4927
San Luis, AZ 85349-4927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 3872672 (ZZ) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1124830989
Cutberto A. Hernandez Sr.'s National Provider Identifier is 1124830989, issued on Jan 20, 2025. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Luis Rio Colorado, MX. The record was last updated on Jan 20, 2025.