Individual
JESUS EMANUEL HERNANDEZ VELEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(133) 671-6225
Mailing address
Q36 CALLE RENO, VISTA BELLA, BAYAMON, PR 00956
(787) 649-8747
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2020-00933
NC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/16/2016
Last updated
07/01/2020
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