| Doctor Name: | JUAN E HERNANDEZ |
| NPI Number: | 1730425323 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 020270 |
| Business Practice Address: | Carr #2 (marginal) Km 119.2 Bo Caimital Alto Aguadilla, PR - 00603 |
| Business Phone Number: | 7876587111 |
| Business Fax Number: | 7876587122 |
| Mailing Address: | Po Box 1993, ISABELA |
| State: | PR |
| Postal Code: | 006621993 |
| Phone Number: | 7872399143 |
| Fax Number: | 7878729216 |
| NPI Enumeration Date: | 12/31/2012 |
| NPI Last Update Date: | 04/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 020270 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |