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Individual

MR. JONATHAN ALEXIS HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2321 CALLE JOSE DEL TORO, PONCE, PR 00728-3832
(939) 900-2138
Mailing address
2321 CALLE JOSE DEL TORO, PONCE, PR 00728-3832
(939) 900-2138

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
021179
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
021179
MEDICAL LICENSE
PR
Enumeration date
04/05/2019
Last updated
02/15/2025
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