Hernandez, Ellis I

Hernandez, Ellis I is an sole proprietor health care provider with primary practice located at 1212 Calle Cadiz , San Juan PR 00920-3841. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hernandez, Ellis I can be contacted via phone (787) 781-3187.

Contact Information

Primary practice address
1212 Calle Cadiz San Juan PR 00920-3841
Phone: (787) 781-3187
Fax: (787) 782-5547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1352 Puerto Rico

Profile Details

NPI number 1447257050
LBN Legal business name Hernandez, Ellis I
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2005
Last updated Jul 18th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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