Individual
WILLIAM HERNANDEZ III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CALLE 1 BLOQUE 2 751, URB PASEO REAL, ARECIBO, PR 00612-0000
(787) 502-4413
Mailing address
PO BOX 827, BARCELONETA, PR 00617-0827
(787) 502-4413
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
660807512
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660807512
INDIVIDUAL TAX ID
—
Enumeration date
08/08/2013
Last updated
08/08/2013
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