Individual
GLADYS FELIX-HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CKD CLINICS OF CAROLINA, SAINT JUST STATION, PR 00976-2501
(787) 710-2532
(787) 292-7999
Mailing address
PO BOX 1350, SAINT JUST, PR 00978-1350
(787) 292-7979
(787) 292-7999
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
24251
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24251
LIC
PR
Enumeration date
11/16/2012
Last updated
11/16/2012
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