Individual
MR. ENRIQUE JOSE ILLAS HERNANDEZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
URBANIZACION PUERTO NUEVO CALLE ARAGON, BUZON 605, SAN JUAN, PR 00920
(787) 749-2727
(787) 749-2727
Mailing address
URBANIZACION PUERTO NUEVO CALLE ARAGON, BUZON 605, SAN JUAN, PR 00920
(787) 749-2727
(787) 749-2727
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
34942A
PR
163WH0200X
Home Health Registered Nurse
Primary
34942A
PR
171000000X
Military Health Care Provider
34942A
PR
172A00000X
Driver
34942A
PR
174H00000X
Health Educator
34942
PR
372500000X
Chore Provider
34942A
PR
372600000X
Adult Companion
34942A
PR
374U00000X
Home Health Aide
34942A
PR
376G00000X
Nursing Home Administrator
34942A
PR
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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