Healthcare Provider Details

I. General information

NPI: 1356302673
Provider Name (Legal Business Name): HJ ASOCIADOS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 03/04/2020
Certification Date: 03/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 CALLE MUNOZ RIVERA W
RINCON PR
00677-2125
US

IV. Provider business mailing address

PO BOX 1827
RINCON PR
00677-1827
US

V. Phone/Fax

Practice location:
  • Phone: 787-823-7150
  • Fax:
Mailing address:
  • Phone: 787-823-7150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number581
License Number StatePR

VIII. Authorized Official

Name: IMELDA HERNANDEZ
Title or Position: PARTNER
Credential: M.T.
Phone: 787-823-7150