Individual
YANILDA IVETTE HERNANDEZ SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BARRIO HATO NUEVO SOLAR 173, GURABO, PR 00778
(787) 675-4424
Mailing address
HC 01 BOX 7121, GURABO, PUERTO RICO 00778
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
74872
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5058067
MOLINA
PR
Enumeration date
07/19/2017
Last updated
07/19/2017
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