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NPI Code Detail

MEDICARE: LEIDA HERNANDEZ MS

MEDICARE: LEIDA HERNANDEZ MS
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
1231H00000XAudiologist587PR

General Provider Information

NPI Number : 1336396662
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEIDA HERNANDEZ MS
Provider Business Mailing Address
First Line : PASEO SAN JUAN CALLE ADOQUINES G31
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-6520
Country : US
Telephone Number : 787-453-9545
Fax Number :
Provider Business Practice Location Address
First Line : PASEO SAN JUAN CALLE ADOQUINES G31
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-6520
Country : US
Telephone Number : 787-453-9545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2008
Last Update Date : 01/12/2026

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