Provider Demographics
NPI:1912938507
Name:HERNANDEZ ROJAS, CARMEN N (TR)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:N
Last Name:HERNANDEZ ROJAS
Suffix:
Gender:F
Credentials:TR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 CALLE LUIS PARDO
Mailing Address - Street 2:URB. SAN MARTIN
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-4428
Mailing Address - Country:US
Mailing Address - Phone:787-757-5119
Mailing Address - Fax:
Practice Address - Street 1:CARR. 848 KM. 3.0
Practice Address - Street 2:BO. SAN ANTON
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:787-276-0210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR727227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified