Individual
JOSE ANTONIO HERNANDEZ ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 COMMUNITY DRIVE, MANHASSET, MANHASSET, NY 11030
(516) 562-0100
(516) 562-3555
Mailing address
CALLE KENNEDY #89, JARDINES DE CASA BLANCA, TOA ALTA, PR 00953
(787) 552-9440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0116031985
VA
207RG0100X
Gastroenterology Physician
Primary
23273
PR
207RG0100X
Gastroenterology Physician
77258
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
Other
Enumeration date
09/02/2016
Last updated
12/05/2024
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