Individual
JESUS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 CALLE MATTEI LLUBERAS, YAUCO, PR 00698-3635
(787) 856-2626
(787) 856-2762
Mailing address
40 CALLE MATTEI LLUBERAS, YAUCO, PR 00698-3635
(787) 856-2626
(787) 856-2762
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
457
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30300
SSS SERV SALUD
PR
01
—
7680019
HUMANA HEALTH PLAN
PR
Enumeration date
05/10/2007
Last updated
07/08/2007
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