Individual
MARISOL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HEALTH EDUCATOR MAST
Contact information
Practice address
CARR 921 KM 2.8, BO TEJAS SECTOR ALTURAS DE TEJAS 117, LAS PIEDRAS, PR 00771
(787) 598-2450
Mailing address
PO BOX 876, LAS PIEDRAS, PR 00771-0876
(787) 598-2450
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
5069
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5504
MCS
PR
Enumeration date
07/19/2018
Last updated
07/19/2018
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