Healthcare Provider Details

I. General information

NPI: 1538891775
Provider Name (Legal Business Name): DAVID JOSE HERNANDEZ PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE. FERNANDEZ JUNCOS SANTURCE
SAN JUAN PR
00907-4708
US

IV. Provider business mailing address

1100 AVE FERNANDEZ JUNCOS
SAN JUAN PR
00907-4708
US

V. Phone/Fax

Practice location:
  • Phone: 787-365-4788
  • Fax:
Mailing address:
  • Phone: 787-543-9696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6888
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: