Provider Demographics
NPI:1861496408
Name:HERNANDEZ-SANTANA, EMA MARIA (DC)
Entity Type:Individual
Prefix:
First Name:EMA
Middle Name:MARIA
Last Name:HERNANDEZ-SANTANA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2D27 AVE CARLOS JAVIER ANDALUZ
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-3433
Mailing Address - Country:US
Mailing Address - Phone:787-779-3333
Mailing Address - Fax:
Practice Address - Street 1:2D27 AVE CARLOS JAVIER ANDALUZ
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-3433
Practice Address - Country:US
Practice Address - Phone:787-779-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2018-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR385111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR03856OtherAMERICAN HEALTH
PR68432OtherMEDICARE OPTIMO
PR68432OtherTRIPLE S
PRP642OtherIMC
PR100339OtherCRUZ AZUL
PR233005OtherPREFERRED HEALTH UTI
PR9590160OtherHUMANA INSURANCE/ HEALTH
PR9590160OtherHUMANA INSURANCE/ HEALTH
PRV-03887Medicare UPIN