Individual
DESIRE D HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
URB PEREZ MORRIS, #1 CALLE PONCE, SAN JUAN, PR 00957
(787) 677-1481
Mailing address
CHALETS DE ROYAL PALM, EDIF 9 APT 907, BAYAMON, PR 00956-3027
(787) 677-1481
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7959
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7959
LICENCIA
PR
Enumeration date
12/16/2024
Last updated
12/16/2024
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