=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801753991
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANELYS R HERNANDEZ
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/08/2026
-----------------------------------------------------
Last Update Date | 01/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | HC 6 BOX 13884
-----------------------------------------------------
City | HATILLO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00659-6714
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-275-3080
-----------------------------------------------------
Fax | 939-275-3080
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | HC 6 BOX 13884
-----------------------------------------------------
City | HATILLO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00659-6714
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-275-3080
-----------------------------------------------------
Fax | 939-275-3080
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TS0200X
-----------------------------------------------------
Taxonomy Name | School Psychologist
-----------------------------------------------------
License Number | 8744
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------