MEDICARE: JOSEPH HERNANDEZ MD

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1326839440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH HERNANDEZ MD

Provider Business Mailing Address
First Line	:	PO BOX 2157
Second Line	:
City	:	GUAYAMA
State	:	PR
Zip	:	00785-2157
Country	:	US
Telephone Number	:	787-313-2838
Fax Number	:

Provider Business Practice Location Address
First Line	:	2602E PORTALES DEL MONTE
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00780-2027
Country	:	US
Telephone Number	:	787-313-2838
Fax Number	:

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

Provider Enumeration Date	:	05/16/2025
Last Update Date	:	05/16/2025

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