Individual
DR. MICOL HERNANDEZ RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1959 CALLE LOIZA, STE 301, SAN JUAN, PR 00911-1873
(787) 281-8106
Mailing address
1959 CALLE LOIZA STE 301, SAN JUAN, PR 00911-1873
(787) 281-8106
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3195
PR
Other
Enumeration date
03/14/2011
Last updated
04/26/2021
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