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Provider Information for 1528646122


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Dr. VIRGINIA RONDERO HERNANDEZ ACC, NBC-HWC, LCSW


Other Names:  
Professional Name: 
Dr. VIRGINIA RONDERO HERNANDEZ ACC, NBC-HWC, LCSW

Sex: Female

NPI: 1528646122
Last Updated: 2024-01-25
Certification Date: 2024-01-25

Details

NameValue
NPI1528646122
Enumeration Date2021-04-01
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1326 TAUBENFELD
SAN ANTONIO, TX 78260-4459
United States

Phone: 559-307-3740 | Fax:559-472-3313
 
Primary Practice Address 1326 TAUBENFELD
SAN ANTONIO, TX 78260-4459
United States

Phone: 559-307-3740 | Fax:559-472-3313
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 193400000X - Single Specialty Group
1041C0700X - Social Worker - Clinical
TX16449
Yes 171400000X - Health & Wellness Coach