Individual
LUIS GABRIEL HERNANDEZ SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PROFESSIONAL OFFICESNPARK IV 997 SAN ROBERTO STREET, SAN JUAN, PR 00926
(787) 773-6544
Mailing address
PMB 510 POBOX 819, LARES, PR 00669
(787) 710-1350
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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