Individual
GLORIA ESTHER HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE COLON 54 ESTE, SAN LORENZO, PR 00754
(939) 645-0143
Mailing address
CALLE COLON 54 ESTE, SAN LORENZO, PR 00754
(939) 645-0143
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
6061
PR
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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