Healthcare Provider Details

I. General information

NPI: 1962315416
Provider Name (Legal Business Name): CRHN MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2435 BLVD LUIS A FERRE
PONCE PR
00717-2112
US

IV. Provider business mailing address

HC 3 BOX 11453
CAMUY PR
00627-9665
US

V. Phone/Fax

Practice location:
  • Phone: 787-848-5600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CARLOS HERNANDEZ NIEVES
Title or Position: MD
Credential: MD
Phone: 787-848-5600