Provider Demographics
NPI:1437472388
Name:HERNANDEZ-COLON, YNEZ MERCEDES (BSPH)
Entity Type:Individual
Prefix:MS
First Name:YNEZ
Middle Name:MERCEDES
Last Name:HERNANDEZ-COLON
Suffix:
Gender:F
Credentials:BSPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C20 CALLE FICUS
Mailing Address - Street 2:URB. UNIVERSITY GARDENS
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-7815
Mailing Address - Country:US
Mailing Address - Phone:787-879-4383
Mailing Address - Fax:
Practice Address - Street 1:C20 CALLE FICUS
Practice Address - Street 2:URB. UNIVERSITY GARDENS
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-7815
Practice Address - Country:US
Practice Address - Phone:787-879-4383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-07
Last Update Date:2010-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist