Individual
JENNIFER HERNANDEZ VEGA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
ALTURAS DE HATO NUEVO CALLE RIO CIBUCO P7, GURABO, PR 00778
(787) 600-7660
Mailing address
URB JARDINES DE GURABO C 10 211, GURABO, PR 00778
(787) 600-7660
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2537-4
PR
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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