Individual
JOSE LUIS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
474 CALLE DE DIEGO, CALLE DE DIEGO APT 65, SAN JUAN, PR 00923-3101
(787) 598-1492
Mailing address
474 CALLE DE DIEGO APT 65, DE DIEGO CHALETS, SAN JUAN, PR 00923
(787) 598-1492
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
1865
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13907109
DRIVER LICENSE
PR
01
—
1865
TECHNICIAN LICENSE
PR
Enumeration date
10/28/2016
Last updated
10/28/2016
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