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Individual
RAFAEL A HERNANDEZ
Active
Individual
RAFAEL A HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2009
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DM10293-9
STATE DRUG LICENSE
PR
Enumeration date
09/06/2006
Last updated
07/08/2007
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