Doctor Name: | MARCOS JAVIER HERNANDEZ HERNANDEZ |
NPI Number: | 1558663203 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 18096 |
Business Practice Address: | Hc 01 Box 3243 Sabana Hoyos, PR - 00688 |
Business Phone Number: | 7875979097 |
Business Fax Number: | |
Mailing Address: | Po Box 959, SABANA HOYOS |
State: | PR |
Postal Code: | 006880959 |
Phone Number: | 7875979097 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2010 |
NPI Last Update Date: | 07/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 18096 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |