Individual
DR. ANTHONY MARK HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
PR 2 KM 124, AGUADILLA, PR 00603
(939) 292-3119
Mailing address
PO BOX 1861, ANASCO, PR 00610-1861
(939) 292-3119
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
647
PR
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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