Individual
JUAN E HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CARR #2 (MARGINAL) KM 119.2, BO CAIMITAL ALTO, AGUADILLA, PR 00603
(787) 658-7111
(787) 658-7122
Mailing address
PO BOX 1993, ISABELA, PR 00662-1993
(787) 239-9143
(787) 872-9216
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
020270
PR
Other
Enumeration date
12/31/2012
Last updated
04/12/2016
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