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General NPI Number Information
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NPI Number | 1285607101
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Entity Type | Organization
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Legal Business Name | HERNANDEZ ALONSO MEDICAL OFFICES P.S.C.
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 200 CALLE DUARTE URB. FLORAL PARK
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City | SAN JUAN
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State | PR
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Zip | 00917
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Country | US
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Telephone | 787-759-6909
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Fax | 787-282-0884
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Provider Business Mailing Address
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Address Line | PMB #394 5900 ISLA VERDE AVE. L-2
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City | CAROLINA
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State | PR
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Zip | 00979-4901
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Country | US
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Telephone | 787-307-3399
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Fax | 787-701-2671
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VICTOR A HERNANDEZ
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Credential | M.D.
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Telephone | 787-980-8268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 11034
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License Number State | PR
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