| Doctor Name: | MR. WALDEMAR HERNANDEZ FLORES |
| NPI Number: | 1992092209 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ADN |
| License Number: | 10403 |
| Business Practice Address: | Carr. 198 Km 22.0 Bo. Montones I Las Piedras, PR - 007710000 |
| Business Phone Number: | 7877160050 |
| Business Fax Number: | 7877331655 |
| Mailing Address: | Hc 64 Box 6673, PATILLAS |
| State: | PR |
| Postal Code: | 007239709 |
| Phone Number: | 7873819040 |
| Fax Number: | 7877331655 |
| NPI Enumeration Date: | 07/07/2011 |
| NPI Last Update Date: | 07/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 164W00000X |
| License Number: | 10403 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Licensed Practical Nurse |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |