| Hernandez-amb Medical Clinic, Llc | |
|
Carr. 926 Km. 0.4 Bo. Collores Las Piedras PR 00771 | |
| (787) 733-2716 | |
| (787) 733-2716 |
| Full Name | Hernandez-amb Medical Clinic, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | Carr. 926 Km. 0.4, Las Piedras, Puerto Rico |
| Authorized Official Name and Position | Juanita Hernandez (DIRECTOR) |
| Authorized Official Contact | 7874799968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hernandez-amb Medical Clinic, Llc Po Box 487 Las Piedras PR 00771-0487 Ph: (787) 733-2716 | Hernandez-amb Medical Clinic, Llc Carr. 926 Km. 0.4 Bo. Collores Las Piedras PR 00771 Ph: (787) 733-2716 |
| NPI Number | 1508354515 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 05/03/2018 |
| Medicare PECOS PAC ID | 3779902432 |
|---|---|
| Medicare Enrollment ID | O20200929002743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508354515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Juanita Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265586200 PECOS PAC ID: 7618122904 Enrollment ID: I20130313000360 |
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