Provider Demographics
NPI:1710756242
Name:DR. VICTOR M HERNANDEZ FLORES
Entity Type:Organization
Organization Name:DR. VICTOR M HERNANDEZ FLORES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:M
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-535-1001
Mailing Address - Street 1:STREET 14 BO RINCON SECTOR LOMA
Mailing Address - Street 2:EMERGENCY RM MENNONITE GENERAL HOSPITAL
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-3130
Mailing Address - Country:US
Mailing Address - Phone:787-535-1001
Mailing Address - Fax:787-535-1012
Practice Address - Street 1:STREET 14 BO RINCON SECTOR LOMA
Practice Address - Street 2:EMERGENCY RM MENNONITE GENERAL HOSPITAL
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00737-3130
Practice Address - Country:US
Practice Address - Phone:787-535-1001
Practice Address - Fax:787-535-1012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-26
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty