Basic Information
Provider Information
NPI: 1225352743
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HERNANDEZ-SORIA
FirstName: ALEXIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 120 WILLIAM PENN PLZ
Address2:  
City: DURHAM
State: NC
PostalCode: 277042150
CountryCode: US
TelephoneNumber: 9192205255
FaxNumber: 9193131276
Practice Location
Address1: 1236 HUFFMAN MILL RD STE 1300
Address2:  
City: BURLINGTON
State: NC
PostalCode: 272158700
CountryCode: US
TelephoneNumber: 3365845544
FaxNumber: 9193131276
Other Information
ProviderEnumerationDate: 03/26/2010
LastUpdateDate: 05/03/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/03/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X2017-01616NCN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207XS0106X2017-01616NCY Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery

No ID Information.


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