Organization
CARDIOVASCULAR SURGERY OF PR PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN J HERNANDEZ MD (DOCTOR)
(787) 773-0417
Entity
Organization
Contact information
Practice address
735 AVE PONCE DE LEON SUITE 210, TORRE MEDICA AUXILIO MUTUO, SAN JUAN, PR 00917-5024
(787) 773-0417
Mailing address
735 AVE PONCE DE LEON SUITE 210, TORRE MEDICA AUXILIO MUTUO, SAN JUAN, PR 00917-5024
(787) 773-0417
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
8880
PR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
16635
PR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
8880
PR
Other
Enumeration date
05/28/2010
Last updated
03/16/2012
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