Individual
BENITO HERNANDEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE J ESQ. CALLE B OH. 106 EDIL. MED. HNAS DAUILA, CALLE J ESQ. CALLE B OH. 106 EDIL. MED. HNAS DAUILA, BAYAMON, OR 00960
(787) 740-0066
(787) 269-3020
Mailing address
PO BOX 8731, CALLE J ESQ. CALLE B OH. 106 EDIL. MED. HNAS DAUILA, BAYAMON, PR 00960-8731
(787) 740-0066
(787) 269-3020
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5076
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068118
SSS
—
01
—
1060
INTERNATIONAL MEDICAL CAR
—
01
—
209094
UTI
—
01
—
2808
AMERICAN HEALTH CARE
—
01
—
6200077
HUMAN HEALTH
—
01
—
PE0133
PALIC
—
Enumeration date
07/08/2005
Last updated
07/08/2007
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