Provider Demographics
NPI:1205915584
Name:HERNANDEZ, SYLVIA (RPT)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B5 CALLE 2
Mailing Address - Street 2:EL CORTIJO
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-5661
Mailing Address - Country:US
Mailing Address - Phone:787-799-7109
Mailing Address - Fax:
Practice Address - Street 1:CALLE MARGINAL H46
Practice Address - Street 2:STA RITA
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692
Practice Address - Country:US
Practice Address - Phone:787-883-1885
Practice Address - Fax:787-883-1885
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR444225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist