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General NPI Number Information
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NPI Number | 1730935164
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Entity Type | Individual
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Provider Name | YANELA HERNANDEZ MD
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Gender | Female
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Dates
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Enumeration Date | 04/26/2024
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 715 AVE PONDE DE LEON
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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 | 787-758-2000
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Fax |
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Provider Business Mailing Address
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Address Line | HC 69 BOX 15917
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City | BAYAMON
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State | PR
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Zip | 00956-9291
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Country | US
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Telephone | 787-718-7003
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 024558
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License Number State | PR
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