Individual
JOSE A HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BOCOP C PED RPT
Contact information
Practice address
J11 CALLE ELLIOT VELEZ, URB ATENAS, MANATI, PR 00674-4616
(787) 854-5055
(787) 767-8484
Mailing address
PO BOX 56, MANATI, PR 00674-0056
(787) 854-5055
(787) 767-8484
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
C15272
MD
222Z00000X
Orthotist
CPO02314
DE
224P00000X
Prosthetist
C15272
MD
224P00000X
Prosthetist
Primary
CPO02314
DE
Other
Enumeration date
03/16/2007
Last updated
04/24/2018
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