Individual
JOSE A PEREZ HERNANDEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
DE DIEGO #59 ESTE, MAYAGUEZ, PR 00680
(787) 833-6940
Mailing address
PO BOX 1841, MAYAGUEZ, PR 00681
(787) 833-6940
(787) 833-6940
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4828
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0391
IMC
—
01
—
065312
CA
—
01
—
97123PE
SSS
—
Enumeration date
02/28/2006
Last updated
09/30/2010
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