| Doctor Name: | LISSETTE CHEVERE HERNANDEZ |
| NPI Number: | 1114325503 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 650 |
| Business Practice Address: | Hc 01 Box 5516 Hatillo, PUERTO RICO - 00659 |
| Business Phone Number: | 7879830153 |
| Business Fax Number: | |
| Mailing Address: | Hc 01 Box 5516, HATILLO |
| State: | PUERTO RICO |
| Postal Code: | 00659 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/17/2014 |
| NPI Last Update Date: | 12/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471S1302X |
| License Number: | 650 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |