Provider Demographics
NPI:1326345554
Name:HERNANDEZ, HECTOR J (PHARMD, MPH, CSP)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:J
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:PHARMD, MPH, CSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 CALLE ARZUAGA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00925-3702
Mailing Address - Country:US
Mailing Address - Phone:787-781-4585
Mailing Address - Fax:787-783-2951
Practice Address - Street 1:55 CALLE ARZUAGA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-3702
Practice Address - Country:US
Practice Address - Phone:787-781-4585
Practice Address - Fax:787-783-2951
Is Sole Proprietor?:No
Enumeration Date:2011-02-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5501183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist