Provider Demographics
NPI:1497745087
Name:HERNANDEZ, JOSE ALEJANDRO X (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ALEJANDRO
Last Name:HERNANDEZ
Suffix:X
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 1:17 STREET # 379
Mailing Address - Street 2:HILL BROTHERS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-3906
Mailing Address - Country:US
Mailing Address - Phone:787-766-2818
Mailing Address - Fax:787-765-3030
Practice Address - Street 1:379 CALLE 17
Practice Address - Street 2:HILL BROTHERS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-3906
Practice Address - Country:US
Practice Address - Phone:787-766-2818
Practice Address - Fax:787-765-3030
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15600146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant