| Doctor Name: | DR. LADYS N HERNANDEZ RIVERA |
| NPI Number: | 1548596745 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 17769 |
| Business Practice Address: | 432 Calle Cedro Vistas De Rio Grande Ii Rio Grande, PR - 007458568 |
| Business Phone Number: | 7872463712 |
| Business Fax Number: | |
| Mailing Address: | 432 Calle Cedro, Vistas De Rio Grande Ii RIO GRANDE |
| State: | PR |
| Postal Code: | 007458568 |
| Phone Number: | 7872463712 |
| Fax Number: | |
| NPI Enumeration Date: | 10/22/2009 |
| NPI Last Update Date: | 09/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17769 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |