Healthcare Provider Details

I. General information

NPI: 1891690129
Provider Name (Legal Business Name): NATASHJA HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CENTRO COMERCIAL BORINQUEN LOCAL 7 Y 8, AVE. CAMPO RICO
CAROLINA PR
00987
US

IV. Provider business mailing address

PO BOX 193069
SAN JUAN PR
00919-3069
US

V. Phone/Fax

Practice location:
  • Phone: 787-701-4233
  • Fax:
Mailing address:
  • Phone: 787-761-0036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number004537
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: