MEDICARE: MARIA G HERNANDEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	4850	PR

General Provider Information

NPI Number	:	1205778040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA G HERNANDEZ

Provider Business Mailing Address
First Line	:	50 CALLE MAR DE CORTES
Second Line	:
City	:	JUANA DIAZ
State	:	PR
Zip	:	00795-2108
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1034 AVE HOSTOS
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00716-1115
Country	:	US
Telephone Number	:	787-843-9393
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “ MARIA G HERNANDEZ ” Practice Location

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