Provider Demographics
NPI:1235800327
Name:HERNANDEZ-PONS HEMATOLOGY ONCOLOGY LLC
Entity Type:Organization
Organization Name:HERNANDEZ-PONS HEMATOLOGY ONCOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:JOEL
Authorized Official - Last Name:HERNANDEZ-PONS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-206-1061
Mailing Address - Street 1:369 CALLE SAN CLAUDIO UNIT 261146
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-0645
Mailing Address - Country:US
Mailing Address - Phone:787-206-1071
Mailing Address - Fax:
Practice Address - Street 1:1418 CALLE AMERICO SALAS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2139
Practice Address - Country:US
Practice Address - Phone:787-523-6944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty