Provider Demographics
NPI:1720214596
Name:HERNANDEZ, ANA LAURA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:LAURA
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:DMD
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Mailing Address - Street 1:1324 AVE SAN ALFONSO
Mailing Address - Street 2:URB. ALTAMESA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-3619
Mailing Address - Country:US
Mailing Address - Phone:787-767-7148
Mailing Address - Fax:787-781-3391
Practice Address - Street 1:1324 AVE SAN ALFONSO
Practice Address - Street 2:URB. ALTAMESA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3619
Practice Address - Country:US
Practice Address - Phone:787-767-7148
Practice Address - Fax:787-781-3391
Is Sole Proprietor?:No
Enumeration Date:2009-06-06
Last Update Date:2015-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR21971223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry