Individual
JESUS IVAN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARR 110 KM 9.3, MOCA, PR 00676
(787) 546-2356
Mailing address
HC-01 BOX 7066, MOCA, PR 00676
(787) 546-2356
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
18149
PR
Other
Enumeration date
08/14/2008
Last updated
03/26/2018
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