IndividualActive
Fernando Hernandez Moran
NPI 1730663543 · Physician Assistant · Kirtland Afb, NM
Provider details
- NPI number
- 1730663543
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2050a 2nd St Se
Kirtland Afb, NM 87117-1302
Phone: (505) 846-3200
Approximate (ZIP-level) locationGet directions
Mailing address
307 Boatner Rd
Eglin Afb, FL 32542-1302
Registry dates
- Enumerated
- 2018-09-18
- Last updated
- 2024-02-15
- Certified
- 2024-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.