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Individual

MR. WALDEMAR HERNANDEZ FLORES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ADN

Contact information

Practice address
CARR. 198 KM 22.0, BO. MONTONES I, LAS PIEDRAS, PR 00771-0000
(787) 716-0050
(787) 733-1655
Mailing address
HC 64 BOX 6673, PATILLAS, PR 00723-9709
(787) 381-9040
(787) 733-1655

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10403
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10403
LICENCIA PROFECIONAL
PR
Enumeration date
07/07/2011
Last updated
07/07/2011
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