| Doctor Name: | MRS. ELIZABETH HERNANDEZ |
| NPI Number: | 1386075232 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MT |
| License Number: | 3662 |
| Business Practice Address: | Carr. 149 Km12.2 Ciales, PUERTO RICO - 00638 |
| Business Phone Number: | 7878710601 |
| Business Fax Number: | 7878713960 |
| Mailing Address: | Urb. Jardines De Vega Baja, 292 Calle Jardin Del Caribe VEGA BAJA |
| State: | PUERTO RICO |
| Postal Code: | 00693 |
| Phone Number: | 7878710601 |
| Fax Number: | 7878713960 |
| NPI Enumeration Date: | 12/03/2013 |
| NPI Last Update Date: | 12/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246Z00000X |
| License Number: | 3662 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |