Individual
DR. JUAN T HERNANDEZ SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
URB. MONTEBELLO #101, CALLE ACUEDUCTO, LARES, PR 00669
(787) 512-2022
Mailing address
PO BOX 817, LARES, PR 00669-0817
(787) 512-2022
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
023626
PR
Other
Enumeration date
01/18/2023
Last updated
01/26/2024
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