Doctor Name: | GIOVAN E HERNANDEZ LEBRON |
NPI Number: | 1225080880 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 13955 |
Business Practice Address: | Grupo Medico Samaritano Barrio Barrazas Carr 182 Km 3 Carolina, PR - 009810000 |
Business Phone Number: | 7876611070 |
Business Fax Number: | |
Mailing Address: | Urb Cuidad Jardin 51 Calle Siempreviva, GURABO |
State: | PR |
Postal Code: | 007780000 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 03/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13955 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |