Most Relevant Information
Provider Data
| NPI Number: | 1003370875 |
| Provider Name: | KIMBERLY HERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/25/2019 |
| Last Updated: | 01/25/2019 |
Provider Practice Location
BO. CARMELITA CALLE 15
VEGA BAJA
PR
006933725
Practice Location Phone/Fax
| Phone: | 7873632705 |
| Fax: |
Provider Mailing Location
BO. CARMELITA CALLE 15 PO BOX 103
VEGA BAJA
PR
006933725
Provider Mailing Phone/Fax
| Phone: | 7873632705 |
| Fax: |