Provider Demographics
NPI:1295851897
Name:HERNANDEZ, MARIA DEL C (RN BSN)
Entity Type:Individual
Prefix:MRS
First Name:MARIA DEL
Middle Name:C
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB MANUEL CORCHADO
Mailing Address - Street 2:CALLE TRINITARIA 276
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662
Mailing Address - Country:US
Mailing Address - Phone:787-830-1418
Mailing Address - Fax:
Practice Address - Street 1:AVE AGUSTIN RAMOS CALERO
Practice Address - Street 2:BOX 737
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662
Practice Address - Country:US
Practice Address - Phone:787-830-2705
Practice Address - Fax:787-830-0465
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR20845163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse