Medicare Enrollment Information  Individual Name: JUAN HERNANDEZ Individual Specialty: PHYSICIAN ASSISTANT Individual National Provider Identifier (NPI): 1225617558 Individual Provider Transaction Access Number (PTAN): 1Q2215 Individual PTAN Effective Date: MAY 1, 2021 Employer Legal Business Name (LBN): VALLEY MED URGENT CARE PLLC Employer National Provider Identifier (NPI): 1518404631 Employer Provider Transaction Access Number (PTAN): 578343