Healthcare Provider Details

I. General information

NPI: 1588076137
Provider Name (Legal Business Name): FRANCHESKA MICHEL HERNANDEZ LND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2014
Last Update Date: 11/20/2020
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA #2 KM 51.2 EDIFICIO PROFESSIONAL CENTER
BARCELONETA PR
00617
US

IV. Provider business mailing address

PO BOX 923
CATANO PR
00963-0923
US

V. Phone/Fax

Practice location:
  • Phone: 787-846-3400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number1858
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: