Individual
RAFAEL A HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
AVE FONT MARTELO #53, 104, HUMACAO, PR 00791
(787) 852-4475
(787) 285-0632
Mailing address
AVE FONT MARTELO, #53, HUMACAO, PR 00791
(787) 852-4475
(787) 285-0632
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2009
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DM10293-9
STATE DRUG LICENSE
PR
Enumeration date
09/06/2006
Last updated
07/08/2007
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