Healthcare Provider Details

I. General information

NPI: 1902732894
Provider Name (Legal Business Name): MH ENDOCRINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVENIDA PONCE DE LEON 1801 SANTURCE MEDICAL MALL SUITE
SAN JUAN PR
00909
US

IV. Provider business mailing address

AG THYROID AND ENDOCRINE CLINIC AVENIDA PONCE DE LEON 1801 SANTURCE MEDICAL MALL SUITE
SAN JUAN PR
00909
US

V. Phone/Fax

Practice location:
  • Phone: 787-726-1100
  • Fax:
Mailing address:
  • Phone: 787-726-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIMAR HERNANDEZ HERNANDEZ
Title or Position: DR
Credential: MD
Phone: 787-239-3385