Doctor Name: | MISS DENISE HERNANDEZ |
NPI Number: | 1003973116 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 7673 |
Business Practice Address: | Juan Marin 106 Street Suite 1 Mayaguez, PR - 00681 |
Business Phone Number: | 7874026380 |
Business Fax Number: | |
Mailing Address: | Condominio Villas De Felisa, 424 Madelline Williamsen MAYAGUEZ |
State: | PR |
Postal Code: | 00681 |
Phone Number: | 7874026380 |
Fax Number: | |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 7673 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |