Healthcare Provider Details

I. General information

NPI: 1801753991
Provider Name (Legal Business Name): JANELYS R HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 6 BOX 13884
HATILLO PR
00659-6714
US

IV. Provider business mailing address

HC 6 BOX 13884
HATILLO PR
00659-6714
US

V. Phone/Fax

Practice location:
  • Phone: 939-275-3080
  • Fax: 939-275-3080
Mailing address:
  • Phone: 939-275-3080
  • Fax: 939-275-3080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number8744
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: