Doctor Name: | GLORIA ESTHER HERNANDEZ |
NPI Number: | 1164575460 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 6061 |
Business Practice Address: | Calle Colon 54 Este San Lorenzo, PR - 00754 |
Business Phone Number: | 9396450143 |
Business Fax Number: | |
Mailing Address: | Calle Colon 54 Este, SAN LORENZO |
State: | PR |
Postal Code: | 00754 |
Phone Number: | 9396450143 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 6061 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |