Individual
JORGE ERNESTO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
361 CALLE SGTO LUIS MEDINA, SAN JUAN, PR 00918-3817
(915) 312-8300
Mailing address
361 CALLE SGTO LUIS MEDINA, SAN JUAN, PR 00918-3817
(915) 312-8300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1612
PR
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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