Hernandez, Rafael A
Hernandez, Rafael A is an sole proprietor health care provider with primary practice located at Ave Font Martelo #53 104, Humacao PR 00791. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Hernandez, Rafael A can be contacted via phone (787) 852-4475.Contact Information
Primary practice address
Ave Font Martelo #53 104
Humacao PR 00791
Phone: (787) 852-4475
Fax: (787) 285-0632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 2009 | Puerto Rico |
Profile Details
| NPI number | 1396848339 |
|---|---|
| LBN Legal business name | Hernandez, Rafael A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396848339 | NPPES |
| Puerto Rico | Other | DM10293-9 | STATE DRUG LICENSE |
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