=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043147036
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HERNANDEZ AUDIOLOGY AND BALANCE CENTER LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/05/2026
-----------------------------------------------------
Last Update Date | 05/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | PASEO DEGETAU CARRETERA 155
-----------------------------------------------------
City | OROCOVIS
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00720
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-487-6633
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | HC 2 BOX 8357
-----------------------------------------------------
City | OROCOVIS
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00720-9466
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | KRISTEAN X HERNANDEZ HERNANDEZ
-----------------------------------------------------
Credential | AUD
-----------------------------------------------------
Telephone | 787-487-6633
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------