Provider Demographics
NPI:1184680936
Name:HERNANDEZ LOPEZ, OSCAR A SR (MD)
Entity Type:Individual
Prefix:MR
First Name:OSCAR
Middle Name:A
Last Name:HERNANDEZ LOPEZ
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 542
Mailing Address - Street 2:6TH SAN JUAN STREET NORTH
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-0542
Mailing Address - Country:US
Mailing Address - Phone:787-898-2395
Mailing Address - Fax:787-820-4616
Practice Address - Street 1:6TH SAN JUAN STREET NORTH
Practice Address - Street 2:
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-0542
Practice Address - Country:US
Practice Address - Phone:787-898-2395
Practice Address - Fax:787-820-4616
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8669208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR8669OtherLOCAL LICENSE
PR8669OtherLOCAL LICENSE
PR8669OtherLOCAL LICENSE
BH0932978OtherFEDERAL DRUGS LICENSE