Healthcare Provider Details

I. General information

NPI: 1285607101
Provider Name (Legal Business Name): HERNANDEZ ALONSO MEDICAL OFFICES P.S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 02/17/2023
Certification Date: 02/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CALLE DUARTE URB. FLORAL PARK
SAN JUAN PR
00917
US

IV. Provider business mailing address

PMB #394 5900 ISLA VERDE AVE. L-2
CAROLINA PR
00979-4901
US

V. Phone/Fax

Practice location:
  • Phone: 787-759-6909
  • Fax: 787-282-0884
Mailing address:
  • Phone: 787-307-3399
  • Fax: 787-701-2671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number11034
License Number StatePR

VIII. Authorized Official

Name: DR. VICTOR A HERNANDEZ
Title or Position: PRESIDENT
Credential: M.D.
Phone: 787-980-8268