Individual
MS. MARIA DE LA ALTAGRACIA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
AB12 CALLE NEBRASKA, CAGUAS NORTE, CAGUAS, PR 00725-2265
(787) 258-8686
(787) 258-8687
Mailing address
AB12 CALLE NEBRASKA, CAGUAS NORTE, CAGUAS, PR 00725-2265
(787) 258-8686
(787) 258-8687
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
307
PR
152WC0802X
Corneal and Contact Management Optometrist
307
PR
152WL0500X
Low Vision Rehabilitation Optometrist
307
PR
152WP0200X
Pediatric Optometrist
307
PR
152WS0006X
Sports Vision Optometrist
307
PR
152WV0400X
Vision Therapy Optometrist
307
PR
152WX0102X
Occupational Vision Optometrist
307
PR
156FC0800X
Contact Lens Technician/Technologist
307
PR
156FC0801X
Contact Lens Fitter
307
PR
156FX1100X
Ophthalmic Technician/Technologist
307
PR
156FX1202X
Optometric Technician
307
PR
156FX1800X
Optician
307
PR
156FX1900X
Orthoptist
307
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215961
PREFERRED
PR
01
—
55394HE
TSSS
PR
01
—
7250096
HUMANA HEALTH PLAN
PR
Enumeration date
08/15/2006
Last updated
04/22/2024
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