Provider Demographics
NPI:1023482338
Name:HERNANDEZ, SONIA JANETTE (CLINICAL SOCIAL WORK)
Entity type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:JANETTE
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:CLINICAL SOCIAL WORK
Other - Prefix:MRS
Other - First Name:SONIA
Other - Middle Name:JANETTE
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CLINICAL SOCIAL WORK
Mailing Address - Street 1:2206 CALLE TAMARINDO
Mailing Address - Street 2:2206 CALLE TAMARINDO , SAN ANTONIO
Mailing Address - City:SAN ANTONIO
Mailing Address - State:PR
Mailing Address - Zip Code:00690-1227
Mailing Address - Country:US
Mailing Address - Phone:787-647-6482
Mailing Address - Fax:
Practice Address - Street 1:2206 CALLE TAMARINDO SAN ANTONIO
Practice Address - Street 2:SAN ANTONIO
Practice Address - City:SAN ANTONIO
Practice Address - State:PR
Practice Address - Zip Code:00690
Practice Address - Country:US
Practice Address - Phone:787-647-6482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-24
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR135611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical