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Individual

MR. MARTIN HERNANDEZ SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MUNOZ RIVERA STREET #40, CDT SAN CRISTOBAL VILLALBA, VILLALBA, PR 00766
(787) 847-3000
Mailing address
HC01 BOX 4070, JUANA DIAZ, PR 00795
(787) 260-0902

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
9335
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13H1744374
NARCUTIC US LICENSE
01
9335
PUERTO RICO LICENSE
Enumeration date
11/06/2006
Last updated
09/04/2007
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Product
  • Claims
  • Eligibility checks
  • EDI platform