| Doctor Name: | DR. JOHANNY HERNANDEZ |
| NPI Number: | 1043499445 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 16879 |
| Business Practice Address: | 140 Ave Las Cumbres Guaynabo, PR - 009695523 |
| Business Phone Number: | 7877205050 |
| Business Fax Number: | |
| Mailing Address: | Cond Jardines De Montehiedra, Ave. Los Romeros 1500 Apt. 1007 SAN JUAN |
| State: | PR |
| Postal Code: | 009267011 |
| Phone Number: | 7877340459 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2007 |
| NPI Last Update Date: | 08/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 16879 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |