MEDICARE: PROF. EMMANUEL HERNANDEZ MEXSC, MPHE, CHES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator	1121	PR

General Provider Information

NPI Number	:	1972433894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PROF. EMMANUEL HERNANDEZ MEXSC, MPHE, CHES

Provider Business Mailing Address
First Line	:	HW4 CALLE JOAQUIN BURSET
Second Line	:
City	:	TOA BAJA
State	:	PR
Zip	:	00949-3736
Country	:	US
Telephone Number	:	787-226-9556
Fax Number	:

Provider Business Practice Location Address
First Line	:	HW4 CALLE JOAQUIN BURSET
Second Line	:
City	:	TOA BAJA
State	:	PR
Zip	:	00949-3736
Country	:	US
Telephone Number	:	787-226-9556
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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