Individual
JOSE GABRIEL HERNANDEZ SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
HOSPITAL MENONITA CIDRA, OFICINA 105, CIDRA, PR 00739
(787) 739-6688
Mailing address
HC 44 BOX 13436, CAYEY, PR 00736-9763
(939) 381-0142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2448-PA
PR
363AM0700X
Medical Physician Assistant
2448-PA
PR
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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