Individual
JENSEN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
HC5 BOX 10709, ROAD 495, MOCA, PR 00676-2484
(787) 318-5977
Mailing address
HC 5 BOX 10709, CARR.444 KM2, MOCA, PR 00676-9764
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
72414
PR
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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