Individual
GLORIA YOLANDA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARRETERA 4488 KM 0 HECTOMETRO 7 ABRA HONDA, CAMUY, PR 00627
(787) 505-4166
Mailing address
PO BOX 77, CAMUY, PR 00627-0077
(787) 505-4166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
746
PR
2251H1200X
Hand Physical Therapist
746
PR
2251N0400X
Neurology Physical Therapist
746
PR
2251X0800X
Orthopedic Physical Therapist
746
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100002591
CFSE
PR
Enumeration date
05/15/2019
Last updated
05/15/2019
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