Doctor Name: | DR. NICOLAS HERNANDEZ |
NPI Number: | 1275637332 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 12019 |
Business Practice Address: | El Monte Mall Ste 302 San Juan, PR - 009184257 |
Business Phone Number: | 7877640937 |
Business Fax Number: | |
Mailing Address: | El Monte Mall Ste 302, SAN JUAN |
State: | PR |
Postal Code: | 009184257 |
Phone Number: | 7877640937 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 12019 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |