Individual
LIDIBETH HERNANDEZ VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
CARR 110 KM 4.1 MARIAS 3, MOCA, PR 00676
(787) 313-8517
Mailing address
HC 1 BOX 6966, MOCA, PR 00676-9556
(787) 313-8517
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
29771
PR
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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