Individual
LYSANDRA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
909 AVE TITO CASTRO STE 510, PONCE, PR 00716-4721
(787) 259-7293
Mailing address
CALLE SAMARIA 924, VILLA DEL CARMEN, PONCE, PR 00716
(787) 234-2808
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
392PA
PR
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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