Healthcare Provider Details

I. General information

NPI: 1386136059
Provider Name (Legal Business Name): IVONNE ESTHER HERNANDEZ CASTRO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2018
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 164 SECTOR EL DESVIO
NARANJITO PR
00719
US

IV. Provider business mailing address

CALLE COLORADO Y14 URB EXTENSION DE PARKVILLE
GUAYNABO PR
00969
US

V. Phone/Fax

Practice location:
  • Phone: 787-869-1290
  • Fax:
Mailing address:
  • Phone: 787-600-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number23152
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number23-152
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: