Individual
DR. ANGEL IVAN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
URB. BRASILIA ST. MARGINAL M-19, SUITE #3, VEGA BAJA, PR 00693
(787) 858-2400
(787) 858-2400
Mailing address
PO BOX 3654, VEGA ALTA, PR 00692-3654
(787) 858-2400
(787) 858-2400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2029
PR
Other
Enumeration date
06/07/2006
Last updated
04/04/2016
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